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CHRISTINA TIEDEMAN
NPI 1295101491
Marriage & Family Therapist in San Leandro, CA

Active since August 11, 2015PECOS Enrolled
2275 ARLINGTON DR, SAN LEANDRO, CA 94578(510) 317-1444 Get Directions Write a Review

NPPES record last updated: August 23, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Christina Tiedeman NPPES

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

CHRISTINA TIEDEMAN (NPI 1295101491) is an individual marriage & family therapist in San Leandro, California, licensed in California (107504) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1295101491
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameCHRISTINA TIEDEMAN
Location Address2275 ARLINGTON DRSan Leandro, CA 94578
Mailing Address2275 Arlington DrSan Leandro, CA 94578-1132 · (510) 317-1444
Phone(510) 317-1444
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateAugust 11, 2015
Last NPPES UpdateAugust 23, 2018
✔ NPI 1295101491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 107504
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
2275 ARLINGTON DR, San Leandro, CA 94578
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Christina Tiedeman is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3779074307
PECOS Enrollment IDI20251112001008
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.

Medicare Billing Reassignment

Medicare enrollment records show Christina Tiedeman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sud Specialty Group - Ca
23 mi
Addiction Medicine
4633 OLD IRONSIDES DR STE 304
Santa Clara, CA 95054
  • Reassigned Medicare billing, California enrollment
  • 1,607 clinicians in this Medicare group
NPI 1972138238 (323) 205-7088

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

ANUSHEH N WARDA
Counselor
2275 ARLINGTON DR
SAN LEANDRO, CA 94578
Alameda County (510) 481-1222
RASHIDA BREMNER ONWUKA
Counselor (Mental Health)
2275 ARLINGTON DR
SAN LEANDRO, CA 94578
Alameda County (510) 317-1444
MEREDITH JOHNSTON
Counselor
2275 ARLINGTON DR
SAN LEANDRO, CA 94578
Alameda County (510) 317-1444
CLAUDIA FIGUEROA
Counselor (Mental Health)
2275 ARLINGTON DR
SAN LEANDRO, CA 94578
Alameda County (510) 317-1437
JACQUELYN OWENS
Counselor
2275 ARLINGTON DR
SAN LEANDRO, CA 94578
Alameda County (510) 317-1444
EVA ADILENE REYES GARCIA
Registered Nurse (Psychiatric/Mental Health, Child & Adolescent)
2275 ARLINGTON DR
SAN LEANDRO, CA 94578
Alameda County (510) 317-1444
MICHELLEE HARRIS
Counselor (Mental Health)
2275 ARLINGTON DR
SAN LEANDRO, CA 94578
Alameda County (510) 317-1444
MELANIE DAVENPORT
Counselor
2275 ARLINGTON DR
SAN LEANDRO, CA 94578
Alameda County (510) 317-1444

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 Christina Tiedeman's NPI number?

The NPI number for Christina Tiedeman is 1295101491. It was assigned to this individual provider in the NPPES registry on August 11, 2015.

Where is Christina Tiedeman located?

Christina Tiedeman practices at 2275 Arlington Dr, San Leandro, CA 94578. The listed phone number is (510) 317-1444.

What is Christina Tiedeman's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Christina Tiedeman enrolled in Medicare?

Yes. Christina Tiedeman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Christina Tiedeman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Christina Tiedeman reassigns Medicare benefits to Sud Specialty Group - Ca (Santa Clara, 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 Christina Tiedeman'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 Christina Tiedeman was last updated on August 23, 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.