DR. NOBUKO HATTORI PHD
NPI 1255670311
Psychologist - Clinical in Novato, CA

Active since February 11, 2013Opted out of Medicare · through Jan 22, 2028
7428 REDWOOD BLVD STE 203, NOVATO, CA 94945(707) 364-0226 Get Directions Write a Review

NPPES record last updated: February 11, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Nobuko Hattori Phd NPPES

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

DR. NOBUKO HATTORI PHD (NPI 1255670311) is an individual clinical provider in Novato, California, licensed in California (PSY21211) and active in the NPI registry since February 2013. She has opted out of Medicare through January 22, 2028.

NPPES Registry Identity

NPI1255670311
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. NOBUKO HATTORICredential: PHD
Location Address7428 REDWOOD BLVD STE 203Novato, CA 94945-2419
Mailing Address139 Windsor DrPetaluma, CA 94952-7505 · (707) 364-0226
Sole ProprietorYes
Enumeration DateFebruary 11, 2013
NPI 1255670311 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 · PSY21211
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.
7428 REDWOOD BLVD STE 203, Novato, CA 94945

Other Names 1

Professional Name (2)Dr. Noni Hattori Phd

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. Nobuko Hattori Phd 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 January 22, 2024 through January 22, 2028.

Opt-Out Effective DateJanuary 22, 2024
Opt-Out In Effect ThroughJanuary 22, 2028Opt-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 94945 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
$202.63 typical visit price
range $69.07 – $202.63
Typical copayment $50.65 (range $17.26 – $50.65)
Most-billed visit code 99205
Established Patient
$119.61 typical visit price
range $23.44 – $166.64
Typical copayment $29.90 (range $5.86 – $41.66)
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 Nobuko Hattori's NPI number?

The NPI number for Nobuko Hattori is 1255670311. It was assigned to this individual provider in the NPPES registry on February 11, 2013. The provider is also known as Dr. Noni Hattori Phd.

Where is Nobuko Hattori located?

Nobuko Hattori practices at 7428 Redwood Blvd Ste 203, Novato, CA 94945. The listed phone number is (707) 364-0226.

What is Nobuko Hattori's specialty?

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

Is Nobuko Hattori enrolled in Medicare?

No. Nobuko Hattori has opted out of Medicare through January 22, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Nobuko Hattori was last updated on February 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.