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DR. HEIDI BRUNETTE PSYD
NPI 1205198900
Psychologist - Clinical in San Rafael, CA

Active since June 09, 2012PECOS Enrolled
1526 5TH AVE, SAN RAFAEL, CA 94901(415) 721-0902(415) 721-2451 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Heidi Brunette Psyd NPPES

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

DR. HEIDI BRUNETTE PSYD (NPI 1205198900) is an individual clinical provider in San Rafael, California, licensed in California (PSY19234) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205198900
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. HEIDI BRUNETTECredential: PSYD
Location Address1526 5TH AVESan Rafael, CA 94901-1852
Mailing Address1526 5th AveSan Rafael, CA 94901-1852 · (415) 721-0902 · Fax (415) 721-2451
Phone(415) 721-0902
Fax(415) 721-2451
Sole ProprietorYes
Enumeration DateJune 9, 2012
Last NPPES UpdateFebruary 11, 2022
✔ NPI 1205198900 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 · PSY19234
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.
1526 5TH AVE, San Rafael, CA 94901
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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. Heidi Brunette 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.

Medicare Billing Reassignment

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

Permanente Medical Group Inc
9.8 mi
Internal Medicine
901 NEVIN
Richmond, CA 94801
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1235226531 (510) 307-1555

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 94901 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
$202.63 typical visit price
range $69.07 – $202.63
Typical copayment $50.65 (range $17.26 – $50.65)
Most-billed visit code 99205
Established Patient
$119.61 typical visit price
range $23.44 – $166.64
Typical copayment $29.90 (range $5.86 – $41.66)
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.

Other Providers at the Same Location NPPES 8

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

TOSO OPTICAL CO
Eyewear Supplier
1526 5TH AVE
SAN RAFAEL, CA 94901
Marin County (415) 457-9410
DR. CHINEDU JOHN EZEJI-OKOYE DDS
Dentist
1526 5TH AVE
SAN RAFAEL, CA 94901
Marin County (415) 453-6409
DR. MELINDA LOUISE CHRISTIANSON DDS
Dentist (General Practice)
1526 5TH AVE
SAN RAFAEL, CA 94901
Marin County (415) 456-4744
DR. TIMOTHY T MILLER JR. DDS
Dentist
1526 5TH AVE
SAN RAFAEL, CA 94901
Marin County (415) 453-6409
MICHAEL JOHN SCIANAMBLO DDS
Dentist (Endodontics)
1526 5TH AVE
SAN RAFAEL, CA 94901
Marin County (415) 457-3002
DARRON RAYMOND RISHWAIN DDS
Dentist (Endodontics)
1526 5TH AVE
SAN RAFAEL, CA 94901
Marin County (415) 457-3002
DARRON R RISHWAIN DDS INC
Dentist (Endodontics)
1526 5TH AVE
SAN RAFAEL, CA 94901
Marin County (415) 457-3002
MS. FLEUR M. NELSON R.D.O, A.B.O.C.
Technician/Technologist (Optician)
1526 5TH AVE, 1
SAN RAFAEL, CA 94901
Marin County (415) 457-9410

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 Heidi Brunette's NPI number?

The NPI number for Heidi Brunette is 1205198900. It was assigned to this individual provider in the NPPES registry on June 9, 2012.

Where is Heidi Brunette located?

Heidi Brunette practices at 1526 5th Ave, San Rafael, CA 94901. The listed phone number is (415) 721-0902.

What is Heidi Brunette's specialty?

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

Is Heidi Brunette enrolled in Medicare?

Yes. Heidi Brunette is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Heidi Brunette's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heidi Brunette reassigns Medicare benefits to Permanente Medical Group Inc (Richmond, 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 Heidi Brunette'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 Heidi Brunette was last updated on February 11, 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.