DR. PATRICIA SUZANNE ALSUP PH.D.
NPI 1154349140
Psychologist in Petaluma, CA

Active since July 17, 2006PECOS EnrolledAccepts Medicare Assignment
229 KEOKUK ST APT 2, PETALUMA, CA 94952(707) 630-1789 Get Directions Write a Review

NPPES record last updated: July 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Patricia Suzanne Alsup Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PATRICIA SUZANNE ALSUP PH.D. (NPI 1154349140) is an individual psychologist in Petaluma, California, licensed in California (PSY12124) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1987).

NPPES Registry Identity

NPI1154349140
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. PATRICIA SUZANNE ALSUPCredential: PH.D.
Location Address229 KEOKUK ST APT 2Petaluma, CA 94952-2773
Mailing Address229 Keokuk St Apt 2Petaluma, CA 94952-2773 · (707) 630-1789
Sole ProprietorYes
Medical School CMSOtherGraduated 1987
Enumeration DateJuly 17, 2006
Last NPPES UpdateJuly 28, 2022
NPPES CertifiedAugust 2, 2021
NPI 1154349140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · PSY12124
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
229 KEOKUK ST APT 2, Petaluma, CA 94952

Other Identifiers 1

Other0PL121240CA · Blue Shield

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Patricia Suzanne Alsup Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3072780485
PECOS Enrollment IDI20120125000177
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Patricia Alsup's NPI number?

The NPI number for Patricia Alsup is 1154349140. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Patricia Alsup located?

Patricia Alsup practices at 229 Keokuk St Apt 2, Petaluma, CA 94952. The listed phone number is (707) 630-1789.

What is Patricia Alsup's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Patricia Alsup enrolled in Medicare?

Yes. Patricia Alsup is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Patricia Alsup was last updated on July 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.