DR. CARRIE KRISTEN EVENDEN DVORNIK PSY.D.
NPI 1285905232
Psychologist - Clinical in San Francisco, CA
About Dr. Carrie Kristen Evenden Dvornik Psy.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CARRIE KRISTEN EVENDEN DVORNIK PSY.D. (NPI 1285905232) is an individual clinical provider in San Francisco, California, licensed in California (PSY24740) and active in the NPI registry since January 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2008).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Carrie Kristen Evenden Dvornik Psy.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.
Medicare Billing Reassignment
Medicare enrollment records show Carrie Dvornik reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Francisco, CA 94115
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Carrie K Evenden Psyd Psychotherapy Corporation
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94118 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Carrie Dvornik's NPI number?
The NPI number for Carrie Dvornik is 1285905232. It was assigned to this individual provider in the NPPES registry on January 23, 2012.
Where is Carrie Dvornik located?
Carrie Dvornik practices at 3354 Sacramento St Ste E, San Francisco, CA 94118. The listed phone number is (415) 793-9643.
What is Carrie Dvornik's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Carrie Dvornik enrolled in Medicare?
Yes. Carrie Dvornik 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.
Which organization bills Medicare for Carrie Dvornik's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carrie Dvornik reassigns Medicare benefits to Carrie K. Evenden, Psy.D. Psychotherapy Corporation (San Francisco, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carrie Dvornik's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Carrie Dvornik was last updated on May 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Dr. Carrie Kristen Evenden Dvornik, PSY.D. · NPI 1285905232
Clinical provider in San Francisco, California. Individual provider, active in the CMS NPPES registry since January 23, 2012.
## Identity
- **NPI:** 1285905232 (Entity type: Individual)
- **Enumerated:** January 23, 2012
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** PSY24740 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3354 SACRAMENTO ST STE E, San Francisco, CA 94118
- **Phone:** (415) 793-9643
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Carrie K. Evenden, Psy.D. Psychotherapy Corporation (NPI 1376217307, San Francisco, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** May 14, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1285905232) · Data from the CMS NPPES public registry.