DR. SIMONE RODIN PH.D.
NPI 1285961755
Psychologist - Clinical in San Rafael, CA

Q: What is Simone Rodin's NPI number?

The NPI number for Simone Rodin is 1285961755. It was assigned to this individual provider in the NPPES registry on November 4, 2009.

Q: What is Simone Rodin's specialty?

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

Q: Is Simone Rodin enrolled in Medicare?

No. Simone Rodin has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Simone Rodin was last updated on November 4, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since November 04, 2009Opted out of Medicare · through Jan 1, 2028

1634 5TH AVE, SAN RAFAEL, CA 94901(415) 458-3358(415) 482-0313 Get Directions Write a Review

NPPES record last updated: November 4, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Simone Rodin Ph.d. NPPES

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

DR. SIMONE RODIN PH.D. (NPI 1285961755) is an individual clinical provider in San Rafael, California, licensed in California (PSY14624) and active in the NPI registry since November 2009. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1285961755

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. SIMONE RODINCredential: PH.D.

Location Address1634 5TH AVESan Rafael, CA 94901-1809

Mailing Address1634 5th AveSan Rafael, CA 94901-1809 · (415) 458-3358 · Fax (415) 482-0313

Phone(415) 458-3358

Fax(415) 482-0313

Sole ProprietorYes

Enumeration DateNovember 4, 2009

✔ NPI 1285961755 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 · PSY14624

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 · Clinical Child & AdolescentTaxonomy 103TC2200X · License PSY 14624 (CA)

1634 5TH AVE, San Rafael, CA 94901

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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. Simone Rodin 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 January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024

Opt-Out In Effect ThroughJanuary 1, 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 94901 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.

Other Providers at the Same Location NPPES 5

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

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