1. Home
  2. Directory
  3. California
  4. Roseville
  5. Psychologist
  6. NPI Profile

DR. KRISTIN ANN CLEMENS PH.D.
NPI 1215940812
Psychologist - Clinical in Roseville, CA

Active since August 14, 2006Opted out of Medicare · through Apr 1, 2027
8775 SIERRA COLLEGE BLVD STE 200, ROSEVILLE, CA 95661(916) 382-7200(916) 382-8356 Get Directions Write a Review

NPPES record last updated: August 10, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kristin Ann Clemens Ph.d. NPPES

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

DR. KRISTIN ANN CLEMENS PH.D. (NPI 1215940812) is an individual clinical provider in Roseville, California, licensed in California (PSY26469) and active in the NPI registry since August 2006. She has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1215940812
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. KRISTIN ANN CLEMENSCredential: PH.D.
Location Address8775 SIERRA COLLEGE BLVD STE 200Roseville, CA 95661-5985
Mailing Address8775 Sierra College Blvd Ste 200Roseville, CA 95661-5985 · (916) 382-7200 · Fax (916) 382-8356
Phone(916) 382-7200
Fax(916) 382-8356
Sole ProprietorYes
Enumeration DateAugust 14, 2006
Last NPPES UpdateAugust 10, 2016
✔ NPI 1215940812 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 · PSY26469
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.
8775 SIERRA COLLEGE BLVD STE 200, Roseville, CA 95661
Open in Google Maps ↗

Other Identifiers 1

Other0031NNTX · Blue Cross Blue Shield

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. Kristin Ann Clemens Ph.d. 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 April 1, 2019 through April 1, 2027.

Opt-Out Effective DateApril 1, 2019
Opt-Out In Effect ThroughApril 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95661 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
$180.85 typical visit price
range $60.44 – $180.85
Typical copayment $45.21 (range $15.11 – $45.21)
Most-billed visit code 99205
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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 3

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

KUZMA KOVZUN
Psychiatry & Neurology (Psychiatry)
8775 SIERRA COLLEGE BLVD STE 200
ROSEVILLE, CA 95661
Placer County (448) 678-4448
CIARA LYNISE WILCOX LMFT 113121
Marriage & Family Therapist
8775 SIERRA COLLEGE BLVD STE 200
ROSEVILLE, CA 95661
Placer County (916) 220-5483
CAROLYN MARIE NELSON LMFT
Marriage & Family Therapist
8775 SIERRA COLLEGE BLVD STE 200
ROSEVILLE, CA 95661
Placer County (916) 531-9370

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 Kristin Clemens's NPI number?

The NPI number for Kristin Clemens is 1215940812. It was assigned to this individual provider in the NPPES registry on August 14, 2006.

Where is Kristin Clemens located?

Kristin Clemens practices at 8775 Sierra College Blvd Ste 200, Roseville, CA 95661. The listed phone number is (916) 382-7200.

What is Kristin Clemens's specialty?

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

Is Kristin Clemens enrolled in Medicare?

No. Kristin Clemens has opted out of Medicare through April 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 Kristin Clemens was last updated on August 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.