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DR. IRVIN D GODOFSKY MD
NPI 1205864147
Psychiatry & Neurology - Psychiatry in Marina Del Rey, CA

Active since June 29, 2006Opted out of Medicare · through Mar 22, 2028
4519 ADMIRALTY WAY STE 110, MARINA DEL REY, CA 90292(310) 822-1771(310) 822-1771 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Irvin D Godofsky Md NPPES

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

DR. IRVIN D GODOFSKY MD (NPI 1205864147) is an individual psychiatry provider in Marina Del Rey, California, licensed in California (C34361) and active in the NPI registry since June 2006. He has opted out of Medicare through March 22, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1205864147
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. IRVIN D GODOFSKYCredential: MD
Location Address4519 ADMIRALTY WAY STE 110Marina Del Rey, CA 90292-5455
Mailing Address4519 Admiralty Way Ste 110Marina Del Rey, CA 90292-5455 · (310) 822-1771 · Fax (310) 822-1771
Phone(310) 822-1771
Fax(310) 822-1771
Sole ProprietorYes
Enumeration DateJune 29, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1205864147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in CA · C34361
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
4519 ADMIRALTY WAY STE 110, Marina Del Rey, CA 90292
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Other Identifiers 2

Medicare ID-Type UnspecifiedC34361
Medicare UPINA87722CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Irvin D Godofsky Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 22, 2018 through March 22, 2028.

Opt-Out Effective DateMarch 22, 2018
Opt-Out In Effect ThroughMarch 22, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90292 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
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
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 2

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

DR. KIMBERLY ANNE TANGEN PHD
Psychologist (Clinical)
4519 ADMIRALTY WAY STE 110
MARINA DEL REY, CA 90292
Los Angeles County (323) 538-4779
KIMBERLY TANGEN PHD, LICENSED PSYCHOLOGIST, INC.
Psychologist
4519 ADMIRALTY WAY STE 110
MARINA DEL REY, CA 90292
Los Angeles County (323) 538-4779

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 Irvin Godofsky's NPI number?

The NPI number for Irvin Godofsky is 1205864147. It was assigned to this individual provider in the NPPES registry on June 29, 2006.

Where is Irvin Godofsky located?

Irvin Godofsky practices at 4519 Admiralty Way Ste 110, Marina Del Rey, CA 90292. The listed phone number is (310) 822-1771.

What is Irvin Godofsky's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Irvin Godofsky enrolled in Medicare?

No. Irvin Godofsky has opted out of Medicare through March 22, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Irvin Godofsky was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.