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DR. ANDREI LYOVIN PH.D.
NPI 1194917682
Psychologist - Clinical in San Jose, CA

Active since August 17, 2007PECOS Enrolled
5755 COTTLE RD # 24, SAN JOSE, CA 95123(408) 972-3095 Get Directions Write a Review

NPPES record last updated: December 28, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 28, 2021, Aug 23, 2021 (2 updates tracked since 2021).

About Dr. Andrei Lyovin Ph.d. NPPES

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

DR. ANDREI LYOVIN PH.D. (NPI 1194917682) is an individual clinical provider in San Jose, California, licensed in California (PSY28770) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194917682
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. ANDREI LYOVINCredential: PH.D.
Location Address5755 COTTLE RD # 24San Jose, CA 95123-3640
Mailing Address5755 Cottle Rd # 24San Jose, CA 95123-3640
Phone(408) 972-3095
Sole ProprietorNo
Enumeration DateAugust 17, 2007
Last NPPES UpdateDecember 28, 20212 updates tracked since enumeration
NPPES CertifiedAugust 23, 2021
✔ NPI 1194917682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · PSY28770
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
5755 COTTLE RD # 24, San Jose, CA 95123
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Andrei Lyovin Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Andrei Lyovin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
12 mi
Internal Medicine
710 LAWRENCE EXPRESSWAY
Santa Clara, CA 95051
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1073606299 (408) 851-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95123 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$206.04 typical visit price
range $70.37 – $206.04
Typical copayment $51.51 (range $17.59 – $51.51)
Most-billed visit code 99205
Established Patient
$121.77 typical visit price
range $23.96 – $169.60
Typical copayment $30.44 (range $5.99 – $42.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Andrei Lyovin's NPI number?

The NPI number for Andrei Lyovin is 1194917682. It was assigned to this individual provider in the NPPES registry on August 17, 2007.

Where is Andrei Lyovin located?

Andrei Lyovin practices at 5755 Cottle Rd # 24, San Jose, CA 95123. The listed phone number is (408) 972-3095.

What is Andrei Lyovin's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Andrei Lyovin enrolled in Medicare?

Yes. Andrei Lyovin is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Andrei Lyovin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrei Lyovin reassigns Medicare benefits to Permanente Medical Group Inc (Santa Clara, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andrei Lyovin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Andrei Lyovin was last updated on December 28, 2021. 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.