DR. JOAN ELLEN SOMMER PHD
NPI 1215038153
Psychologist in San Rafael, CA

Active since September 25, 2006Opted out of Medicare · through Jul 1, 2027
1330 LINCOLN AVE, SUITE 309, SAN RAFAEL, CA 94901(415) 482-1122 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. Joan Ellen Sommer Phd NPPES

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

DR. JOAN ELLEN SOMMER PHD (NPI 1215038153) is an individual psychologist in San Rafael, California, licensed in California (PSY14833) and active in the NPI registry since September 2006. She has opted out of Medicare through July 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1215038153
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. JOAN ELLEN SOMMERCredential: PHD
Location Address1330 LINCOLN AVE, SUITE 309San Rafael, CA 94901-2143
Mailing Address1330 Lincoln Ave, Suite 309San Rafael, CA 94901-2143 · (415) 482-1122
Sole ProprietorNo
Enumeration DateSeptember 25, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1215038153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · PSY14833
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
1330 LINCOLN AVE, San Rafael, CA 94901

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. Joan Ellen Sommer Phd 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 July 1, 2015 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2015
Opt-Out In Effect ThroughJuly 1, 2027Opt-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.

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.

Social Worker (Clinical)
1330 LINCOLN AVE, 307
SAN RAFAEL, CA 94901
Marriage & Family Therapist
1330 LINCOLN AVE, #201
SAN RAFAEL, CA 94901
Marriage & Family Therapist
1330 LINCOLN AVE, SUITE 301
SAN RAFAEL, CA 94901
Psychiatry & Neurology (Psychiatry)
1330 LINCOLN AVE, SUITE 308
SAN RAFAEL, CA 94901
Student in an Organized Health Care Education/Training Program
1330 LINCOLN AVE, SUITE 201
SAN RAFAEL, CA 94901
Marriage & Family Therapist
1330 LINCOLN AVE
SAN RAFAEL, CA 94901
Clinical Neuropsychologist
1330 LINCOLN AVE, SUITE 110B
SAN RAFAEL, CA 94901
Student in an Organized Health Care Education/Training Program
1330 LINCOLN AVE, SUITE 201
SAN RAFAEL, CA 94901

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 Joan Sommer's NPI number?

The NPI number for Joan Sommer is 1215038153. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Where is Joan Sommer located?

Joan Sommer practices at 1330 Lincoln Ave Suite 309, San Rafael, CA 94901. The listed phone number is (415) 482-1122.

What is Joan Sommer's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Joan Sommer enrolled in Medicare?

No. Joan Sommer has opted out of Medicare through July 1, 2027. 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 Joan Sommer 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.