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DR. ANNIE SWEETNAM PH.D.
NPI 1255641833
Psychologist - Clinical in Oakland, CA

Active since October 15, 2010Opted out of Medicare · through Apr 1, 2027
4236 EDGE DRIVE, OAKLAND, CA 94602(510) 531-5212(510) 531-7284 Get Directions Write a Review

NPPES record last updated: October 15, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Annie Sweetnam Ph.d. NPPES

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

DR. ANNIE SWEETNAM PH.D. (NPI 1255641833) is an individual clinical provider in Oakland, California, licensed in California (PSY14383) and active in the NPI registry since October 2010. She has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1255641833
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. ANNIE SWEETNAMCredential: PH.D.
Location Address4236 EDGE DRIVEOakland, CA 94602
Mailing Address4236 Edge DriveOakland, CA 94602 · (510) 531-5212 · Fax (510) 531-7284
Phone(510) 531-5212
Fax(510) 531-7284
Sole ProprietorYes
Enumeration DateOctober 15, 2010
✔ NPI 1255641833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · PSY14383
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.
Also ListedPsychologist · PsychoanalysisTaxonomy 103TP0814X · License PSY14383 (CA)
4236 EDGE DRIVE, Oakland, CA 94602
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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. Annie Sweetnam 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, 2015 through April 1, 2027.

Opt-Out Effective DateApril 1, 2015
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 94602 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
$202.35 typical visit price
range $69.00 – $202.35
Typical copayment $50.58 (range $17.25 – $50.58)
Most-billed visit code 99205
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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 Annie Sweetnam's NPI number?

The NPI number for Annie Sweetnam is 1255641833. It was assigned to this individual provider in the NPPES registry on October 15, 2010.

Where is Annie Sweetnam located?

Annie Sweetnam practices at 4236 Edge Drive, Oakland, CA 94602. The listed phone number is (510) 531-5212.

What is Annie Sweetnam's specialty?

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

Is Annie Sweetnam enrolled in Medicare?

No. Annie Sweetnam 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 Annie Sweetnam was last updated on October 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.