DR. THEA GOLDSTINE PH.D.
NPI 1245442722
Psychologist - Clinical in Sebastopol, CA

Active since May 04, 2007PECOS EnrolledAccepts Medicare Assignment
171 N. HIGH ST., SEBASTOPOL, CA 95472(707) 829-2766 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. Thea Goldstine Ph.d. NPPES

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

DR. THEA GOLDSTINE PH.D. (NPI 1245442722) is an individual clinical provider in Sebastopol, California, licensed in California (PSY4860) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1974).

NPPES Registry Identity

NPI1245442722
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. THEA GOLDSTINECredential: PH.D.
Location Address171 N. HIGH ST.Sebastopol, CA 95472
Mailing Address171 N. High St.Sebastopol, CA 95472 · (707) 829-2766
Sole ProprietorYes
Medical School CMSOtherGraduated 1974
Enumeration DateMay 4, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1245442722 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 · PSY4860
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.
171 N. HIGH ST., Sebastopol, CA 95472

Other Identifiers 1

Medicare ID-Type Unspecified00PL48601CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Thea Goldstine Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8921267766
PECOS Enrollment IDI20120314000145
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 95472 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
$187.01 typical visit price
range $63.04 – $187.01
Typical copayment $46.75 (range $15.76 – $46.75)
Most-billed visit code 99205
Established Patient
$109.88 typical visit price
range $21.02 – $153.40
Typical copayment $27.47 (range $5.25 – $38.35)
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.

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 Thea Goldstine's NPI number?

The NPI number for Thea Goldstine is 1245442722. It was assigned to this individual provider in the NPPES registry on May 4, 2007.

Where is Thea Goldstine located?

Thea Goldstine practices at 171 N. High St., Sebastopol, CA 95472. The listed phone number is (707) 829-2766.

What is Thea Goldstine's specialty?

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

Is Thea Goldstine enrolled in Medicare?

Yes. Thea Goldstine is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Thea Goldstine 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.