MARK R BEIDELMAN PSYD
NPI 1194927855
Psychiatry & Neurology - Child & Adolescent Psychiatry in Palo Alto, CA

Q: What is Mark Beidelman's NPI number?

The NPI number for Mark Beidelman is 1194927855. It was assigned to this individual provider in the NPPES registry on June 4, 2007.

Q: What is Mark Beidelman's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Q: When was this NPI record last updated?

The NPPES record for Mark Beidelman was last updated on April 27, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 04, 2007PECOS Enrolled

725 WELCH RD, PALO ALTO, CA 94304(650) 497-8000 Get Directions Write a Review

NPPES record last updated: April 27, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 27, 2024, Mar 28, 2023, Mar 1, 2019 (3 updates tracked since 2019).

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About Mark R Beidelman Psyd NPPES

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

MARK R BEIDELMAN PSYD (NPI 1194927855) is an individual child & adolescent psychiatry provider in Palo Alto, California, licensed in California (PSY25375) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS and maintains a secondary practice location in Berkeley.

NPPES Registry Identity

NPI1194927855

Entity TypeIndividualMale

Primary Taxonomy2084P0804X

Provider Legal NameMARK R BEIDELMANCredential: PSYD

Location Address725 WELCH RDPalo Alto, CA 94304-1601

Mailing Address725 Welch RdPalo Alto, CA 94304-1601 · (650) 497-8000

Phone(650) 497-8000

Sole ProprietorNo

Enumeration DateJune 4, 2007

Last NPPES UpdateApril 27, 20243 updates tracked since enumeration

NPPES CertifiedApril 27, 2024

✔ NPI 1194927855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

License✔ Licensed in CA · PSY25375

Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Also ListedPsychologistTaxonomy 103T00000X · License 25375 (CA)

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License PSY25375 (CA)

725 WELCH RD, Palo Alto, CA 94304

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Secondary Practice Location 1

Location 13282 Adeline StBerkeley, CA 94703-2439 · Phone (510) 981-5280 · Fax (510) 981-5255

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark R Beidelman Psyd 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.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EIRI INENAGA MS, OTR/L

Occupational Therapist (Pediatrics)