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LAURA L VIDAL PSY.D.
NPI 1346097243
Student in an Organized Health Care Education/Training Program in Berkeley, CA

Active since April 30, 2024PECOS EnrolledAccepts Medicare Assignment
1749 MARTIN LUTHER KING JR WAY, BERKELEY, CA 94709(510) 841-8484 Get Directions Write a Review

NPPES record last updated: May 9, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 9, 2024, Apr 30, 2024 (2 updates tracked since 2024).

About Laura L Vidal Psy.d. NPPES

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

LAURA L VIDAL PSY.D. (NPI 1346097243) is an individual student in an organized health care education/training program in Berkeley, California and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1346097243
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameLAURA L VIDALCredential: PSY.D.
Location Address1749 MARTIN LUTHER KING JR WAYBerkeley, CA 94709-2139
Mailing Address1749 Martin Luther King Jr WayBerkeley, CA 94709-2139 · (510) 841-8484
Phone(510) 841-8484
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 30, 2024
Last NPPES UpdateMay 9, 20242 updates tracked since enumeration
NPPES CertifiedMay 9, 2024
✔ NPI 1346097243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1749 MARTIN LUTHER KING JR WAY, Berkeley, CA 94709
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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 and accepts Medicare assignment

Laura L Vidal Psy.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537652854
PECOS Enrollment IDI20251204004082
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.

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.

DR. HANNAH GAIL BOSLEY PHD
Psychologist (Clinical)
1749 MARTIN LUTHER KING JR WAY
BERKELEY, CA 94709
Alameda County (903) 780-4316
DANIEL BENNO GOLDSTINE PH.D.
Psychologist (Clinical)
1749 MARTIN LUTHER KING JR WAY
BERKELEY, CA 94709
Alameda County (510) 841-8484
DR. CONNOR J TINDALL PSYD
Psychologist
1749 MARTIN LUTHER KING JR WAY
BERKELEY, CA 94709
Alameda County (510) 768-8181
ROBERT DS MACKAY M.D.
Psychiatry & Neurology (Psychiatry)
1749 MARTIN LUTHER KING JR WAY
BERKELEY, CA 94709
Alameda County (510) 540-1749
BONNIE KAHANE PHD
Psychologist (Clinical)
1749 MARTIN LUTHER KING JR WAY
BERKELEY, CA 94709
Alameda County (510) 841-8484
DR. RENEE J TALMON M.F.A., PSY.D.
Psychologist (Clinical)
1749 MARTIN LUTHER KING JR WAY
BERKELEY, CA 94709
Alameda County (510) 841-8484
JOSEPH CHERNICK PHD
Psychologist (Clinical)
1749 MARTIN LUTHER KING JR WAY
BERKELEY, CA 94709
Alameda County (510) 841-8484
DR. CLARAMARIE COTTRELL COLLINS PSYD
Psychologist (Clinical)
1749 MARTIN LUTHER KING JR WAY
BERKELEY, CA 94709
Alameda County (510) 841-8484

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 Laura Vidal's NPI number?

The NPI number for Laura Vidal is 1346097243. It was assigned to this individual provider in the NPPES registry on April 30, 2024.

Where is Laura Vidal located?

Laura Vidal practices at 1749 Martin Luther King Jr Way, Berkeley, CA 94709. The listed phone number is (510) 841-8484.

What is Laura Vidal's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Laura Vidal enrolled in Medicare?

Yes. Laura Vidal is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Laura Vidal was last updated on May 9, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.