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DR. RUDOLPH WIETFELDT PSYD
NPI 1245618032
Psychologist - Clinical in Oceanside, CA

Active since May 12, 2015PECOS EnrolledAccepts Medicare Assignment
2181 S EL CAMINO REAL, SUITE 202, OCEANSIDE, CA 92054(760) 929-9010 Get Directions Write a Review

NPPES record last updated: October 18, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Rudolph Wietfeldt Psyd NPPES

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

DR. RUDOLPH WIETFELDT PSYD (NPI 1245618032) is an individual clinical provider in Oceanside, California, licensed in California (PSY33705) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1245618032
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. RUDOLPH WIETFELDTCredential: PSYD
Location Address2181 S EL CAMINO REAL, SUITE 202Oceanside, CA 92054-6220
Mailing Address2181 S El Camino Real, Suite 202Oceanside, CA 92054-6220 · (760) 929-9010
Phone(760) 929-9010
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateMay 12, 2015
Last NPPES UpdateOctober 18, 2022
NPPES CertifiedOctober 18, 2022
✔ NPI 1245618032 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 · PSY33705
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.
2181 S EL CAMINO REAL, Oceanside, CA 92054
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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. Rudolph Wietfeldt Psyd 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 ID9032587910
PECOS Enrollment IDI20231016000495
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 92054 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
$184.71 typical visit price
range $62.10 – $184.71
Typical copayment $46.17 (range $15.52 – $46.17)
Most-billed visit code 99205
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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 6

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

SHELLEY CHERNOFF KRAMER, PH.D., INC., CLINICAL PSYCHOLOGY
Psychologist (Clinical)
2181 S EL CAMINO REAL, STE 305
OCEANSIDE, CA 92054
San Diego County (760) 966-1286
RICHARD M GREENE JR. PHD
Counselor (Mental Health)
2181 S EL CAMINO REAL, SUITE 201
OCEANSIDE, CA 92054
San Diego County (760) 721-1111
CAMILLE CHAPLINE PSY.D., LMFT
Marriage & Family Therapist
2181 S EL CAMINO REAL, SUITE 201
OCEANSIDE, CA 92054
San Diego County (760) 994-7521
DR. MICHAEL BRUCE STUBBS PH.D.
Psychologist
2181 S EL CAMINO REAL, SUITE 202
OCEANSIDE, CA 92054
San Diego County (760) 929-9010
MICHAEL SAMKO, PH.D., INC.
Psychologist
2181 S EL CAMINO REAL, SUITE 201
OCEANSIDE, CA 92054
San Diego County (760) 721-1111
DR. JOHN A GIGLIO PHD
Psychologist (Clinical)
2181 S EL CAMINO REAL, SUITE 305
OCEANSIDE, CA 92054
San Diego County (760) 966-1286

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 Rudolph Wietfeldt's NPI number?

The NPI number for Rudolph Wietfeldt is 1245618032. It was assigned to this individual provider in the NPPES registry on May 12, 2015.

Where is Rudolph Wietfeldt located?

Rudolph Wietfeldt practices at 2181 S El Camino Real Suite 202, Oceanside, CA 92054. The listed phone number is (760) 929-9010.

What is Rudolph Wietfeldt's specialty?

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

Is Rudolph Wietfeldt enrolled in Medicare?

Yes. Rudolph Wietfeldt 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 Rudolph Wietfeldt was last updated on October 18, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.