DR. JOHN B. COYNE PSYD
NPI 1326187907
Psychologist - Clinical in Corte Madera, CA

Active since February 06, 2007Opted out of Medicare · through Apr 1, 2027
200 TAMAL PLZ STE 130, CORTE MADERA, CA 94925(415) 322-3018 Get Directions Write a Review

NPPES record last updated: October 25, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 25, 2023, Feb 11, 2022 (2 updates tracked since 2022).

About Dr. John B. Coyne Psyd NPPES

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

DR. JOHN B. COYNE PSYD (NPI 1326187907) is an individual clinical provider in Corte Madera, California, licensed in California (PSY20173) and active in the NPI registry since February 2007. He has opted out of Medicare through April 1, 2027.

NPPES Registry Identity

NPI1326187907
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JOHN B. COYNECredential: PSYD
Location Address200 TAMAL PLZ STE 130Corte Madera, CA 94925-1195
Mailing Address769 Center Blvd, Pbm 125Fairfax, CA 94930 · (415) 322-3018
Sole ProprietorYes
Enumeration DateFebruary 6, 2007
Last NPPES UpdateOctober 25, 20232 updates tracked since enumeration
NPPES CertifiedOctober 25, 2023
NPI 1326187907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in CA · PSY20173
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 · Addiction (Substance Use Disorder)Taxonomy 103TA0400X · License PSY20173 (CA)
Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X · License PSY20173 (CA)
200 TAMAL PLZ STE 130, Corte Madera, CA 94925

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. John B. Coyne 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, 2025 through April 1, 2027.

Opt-Out Effective DateApril 1, 2025
Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 8

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

Marriage & Family Therapist
200 TAMAL PLZ STE 130
CORTE MADERA, CA 94925
Marriage & Family Therapist
200 TAMAL PLZ STE 130
CORTE MADERA, CA 94925
Clinic/Center (Mental Health (Including Community Mental Health Center))
200 TAMAL PLZ STE 130
CORTE MADERA, CA 94925
Psychologist
200 TAMAL PLZ STE 130
CORTE MADERA, CA 94925
Clinic/Center (Adult Mental Health)
200 TAMAL PLZ STE 130
CORTE MADERA, CA 94925
Social Worker (Clinical)
200 TAMAL PLZ STE 130
CORTE MADERA, CA 94925
Marriage & Family Therapist
200 TAMAL PLZ STE 130
CORTE MADERA, CA 94925
Marriage & Family Therapist
200 TAMAL PLZ STE 130
CORTE MADERA, CA 94925

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 John Coyne's NPI number?

The NPI number for John Coyne is 1326187907. It was assigned to this individual provider in the NPPES registry on February 6, 2007.

Where is John Coyne located?

John Coyne practices at 200 Tamal Plz Ste 130, Corte Madera, CA 94925. The listed phone number is (415) 322-3018.

What is John Coyne's specialty?

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

Is John Coyne enrolled in Medicare?

No. John Coyne has opted out of Medicare through April 1, 2027. 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 John Coyne was last updated on October 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.