TIPHANIE GAYLE SUTTON PHD
NPI 1205791480
Psychologist - Clinical in Oakland, CA

Active since December 18, 2025PECOS Enrolled
3900 BROADWAY, OAKLAND, CA 94611(510) 752-1075 Get Directions Write a Review

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

Record update history: May 26, 2026, Dec 18, 2025 (2 updates tracked since 2025).

About Tiphanie Gayle Sutton Phd NPPES

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

TIPHANIE GAYLE SUTTON PHD (NPI 1205791480) is an individual clinical provider in Oakland, California, licensed in California (36362) and active in the NPI registry since December 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1205791480
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameTIPHANIE GAYLE SUTTONCredential: PHD
Location Address3900 BROADWAYOakland, CA 94611-5616
Mailing Address3900 BroadwayOakland, CA 94611-5616
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateDecember 18, 2025
Last NPPES UpdateMay 26, 20262 updates tracked since enumeration
NPPES CertifiedMay 26, 2026
NPI 1205791480 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 · 36362
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.

3900 BROADWAY, Oakland, CA 94611

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Tiphanie Gayle Sutton Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1557837531
PECOS Enrollment IDI20260416003837
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94611 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
$202.35 typical visit price
range $69.00 – $202.35
Typical copayment $50.58 (range $17.25 – $50.58)
Most-billed visit code 99205
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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 20

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

Psychiatry & Neurology (Psychiatry)
3900 BROADWAY
OAKLAND, CA 94611
Social Worker (Clinical)
3900 BROADWAY
OAKLAND, CA 94611
Psychiatry & Neurology (Psychiatry)
3900 BROADWAY
OAKLAND, CA 94611
Psychiatry & Neurology (Psychiatry)
3900 BROADWAY
OAKLAND, CA 94611
Marriage & Family Therapist
3900 BROADWAY
OAKLAND, CA 94611
Psychologist
3900 BROADWAY
OAKLAND, CA 94611
Social Worker (Clinical)
3900 BROADWAY, BLDG 2
OAKLAND, CA 94611
Social Worker (Clinical)
3900 BROADWAY
OAKLAND, CA 94611

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 Tiphanie Sutton's NPI number?

The NPI number for Tiphanie Sutton is 1205791480. It was assigned to this individual provider in the NPPES registry on December 18, 2025.

Where is Tiphanie Sutton located?

Tiphanie Sutton practices at 3900 Broadway, Oakland, CA 94611. The listed phone number is (510) 752-1075.

What is Tiphanie Sutton's specialty?

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

Is Tiphanie Sutton enrolled in Medicare?

Yes. Tiphanie Sutton is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tiphanie Sutton was last updated on May 26, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.