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DR. LOI C MEDVIN M.A., PSY.D.
NPI 1245439348
Psychologist - Clinical in Santa Rosa, CA

Active since July 17, 2007
825 COLLEGE AVE STE 4, SANTA ROSA, CA 95404(707) 962-4196 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 17, 2018, Mar 8, 2018 (2 updates tracked since 2018).

About Dr. Loi C Medvin M.a., Psy.d. NPPES

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

DR. LOI C MEDVIN M.A., PSY.D. (NPI 1245439348) is an individual clinical provider in Santa Rosa, California, licensed in California (PSY23692) and active in the NPI registry since July 2007. She maintains a secondary practice location in Santa Rosa.

NPPES Registry Identity

NPI1245439348
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. LOI C MEDVINCredential: M.A., PSY.D.
Location Address825 COLLEGE AVE STE 4Santa Rosa, CA 95404-4108
Mailing Address924 Mcfarlane AveSebastopol, CA 95472-4420 · (707) 695-7888
Phone(707) 962-4196
Sole ProprietorYes
Enumeration DateJuly 17, 2007
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1245439348 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 · PSY23692
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.

825 COLLEGE AVE STE 4, Santa Rosa, CA 95404
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Secondary Practice Location 1

Location 1149 Stony Cir, Ste 210Santa Rosa, CA 95401-4158 · Phone (707) 570-0803 · Fax (707) 570-0809

Other Identifiers 1

Other122742CA · Medicare Id

Other Providers at the Same Location NPPES

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

DR. KATIE JO KERIDAN PSY.D.
Clinical Neuropsychologist
825 COLLEGE AVE STE 4
SANTA ROSA, CA 95404
Sonoma County (510) 428-3000

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 Loi Medvin's NPI number?

The NPI number for Loi Medvin is 1245439348. It was assigned to this individual provider in the NPPES registry on July 17, 2007.

Where is Loi Medvin located?

Loi Medvin practices at 825 College Ave Ste 4, Santa Rosa, CA 95404. The listed phone number is (707) 962-4196.

What is Loi Medvin's specialty?

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

When was this NPI record last updated?

The NPPES record for Loi Medvin was last updated on March 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.