DR. SUSAN ANN DYER PSY.D.
NPI 1316157456
Psychologist - Clinical in San Rafael, CA

Q: What is Susan Dyer's NPI number?

The NPI number for Susan Dyer is 1316157456. It was assigned to this individual provider in the NPPES registry on May 23, 2007.

Q: What is Susan Dyer's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Susan Dyer was last updated on December 30, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 23, 2007PECOS Enrolled

820 LAS GALLINAS AVE, SAN RAFAEL, CA 94903(415) 444-3512(415) 444-3019 Get Directions Write a Review

NPPES record last updated: December 30, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Susan Ann Dyer Psy.d. NPPES

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

DR. SUSAN ANN DYER PSY.D. (NPI 1316157456) is an individual clinical provider in San Rafael, California, licensed in California (PSY 21377) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316157456

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. SUSAN ANN DYERCredential: PSY.D.

Location Address820 LAS GALLINAS AVESan Rafael, CA 94903-3410

Mailing Address705 Blackfoot CtSan Jose, CA 95123-4105 · (408) 972-1356

Phone(415) 444-3512

Fax(415) 444-3019

Sole ProprietorNo

Enumeration DateMay 23, 2007

Last NPPES UpdateDecember 30, 2021

✔ NPI 1316157456 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 · PSY 21377

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.

820 LAS GALLINAS AVE, San Rafael, CA 94903

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Susan Ann Dyer Psy.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94903 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.

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