DR. JODIE NEWDELMAN PSYD
NPI 1316305717
Psychologist - Clinical in San Rafael, CA

Q: What is Jodie Newdelman's NPI number?

The NPI number for Jodie Newdelman is 1316305717. It was assigned to this individual provider in the NPPES registry on February 1, 2016. The provider is also known as Dr. Jodie M Newdelman Psyd.

Q: What is Jodie Newdelman's specialty?

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

Q: Is Jodie Newdelman enrolled in Medicare?

No. Jodie Newdelman has opted out of Medicare through April 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 Jodie Newdelman was last updated on January 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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 February 01, 2016Opted out of Medicare · through Apr 1, 2028

454 LAS GALLINAS AVE # 3038, SAN RAFAEL, CA 94903(415) 488-5405(415) 878-6444 Get Directions Write a Review

NPPES record last updated: January 28, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 28, 2026, Oct 17, 2023, Feb 10, 2023 and 2 more (5 updates tracked since 2016).

On this page

About Dr. Jodie Newdelman Psyd NPPES

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

DR. JODIE NEWDELMAN PSYD (NPI 1316305717) is an individual clinical provider in San Rafael, California, licensed in California (27963) and active in the NPI registry since February 2016. She has opted out of Medicare through April 1, 2028.

NPPES Registry Identity

NPI1316305717

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. JODIE NEWDELMANCredential: PSYD

Location Address454 LAS GALLINAS AVE # 3038San Rafael, CA 94903-3618

Mailing AddressPo Box 83San Geronimo, CA 94963-0083 · (415) 717-2626

Phone(415) 488-5405

Fax(415) 878-6444

Sole ProprietorYes

Enumeration DateFebruary 1, 2016

Last NPPES UpdateJanuary 28, 20265 updates tracked since enumeration

NPPES CertifiedJanuary 28, 2026

✔ NPI 1316305717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · 27963

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 ListedPsychologistTaxonomy 103T00000X · License 27963 (CA)

Also ListedPsychologist · HealthTaxonomy 103TH0004X

Also ListedPsychologist · Group PsychotherapyTaxonomy 103TP2701X

454 LAS GALLINAS AVE # 3038, San Rafael, CA 94903

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Other Names 1

Professional Name (2)Dr. Jodie M Newdelman Psyd

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. Jodie Newdelman Psyd 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 April 1, 2024 through April 1, 2028.

Opt-Out Effective DateApril 1, 2024

Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Jodie Newdelman's NPI number?

The NPI number for Jodie Newdelman is 1316305717. It was assigned to this individual provider in the NPPES registry on February 1, 2016. The provider is also known as Dr. Jodie M Newdelman Psyd.

Where is Jodie Newdelman located?

Jodie Newdelman practices at 454 Las Gallinas Ave # 3038, San Rafael, CA 94903. The listed phone number is (415) 488-5405.

What is Jodie Newdelman's specialty?

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

Is Jodie Newdelman enrolled in Medicare?

No. Jodie Newdelman has opted out of Medicare through April 1, 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 Jodie Newdelman was last updated on January 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.