ANDREW M. PROKOPIS PSY.D.
NPI 1346254786
Psychologist - Clinical in Santa Rosa, CA

Q: What is Andrew Prokopis's NPI number?

The NPI number for Andrew Prokopis is 1346254786. It was assigned to this individual provider in the NPPES registry on July 29, 2006.

Q: What is Andrew Prokopis's specialty?

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

Q: Is Andrew Prokopis enrolled in Medicare?

No. Andrew Prokopis has opted out of Medicare through March 18, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Andrew Prokopis was last updated on October 20, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since July 29, 2006Opted out of Medicare · through Mar 18, 2027

840 3RD ST, SANTA ROSA, CA 95404(707) 292-1910(707) 292-1910 Get Directions Write a Review

NPPES record last updated: October 20, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Andrew M. Prokopis Psy.d. NPPES

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

ANDREW M. PROKOPIS PSY.D. (NPI 1346254786) is an individual clinical provider in Santa Rosa, California, licensed in California (PSY 20809) and active in the NPI registry since July 2006. He has opted out of Medicare through March 18, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1346254786

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameANDREW M. PROKOPISCredential: PSY.D.

Location Address840 3RD STSanta Rosa, CA 95404-4502

Mailing AddressPo Box 2537Sebastopol, CA 95473-2537 · (707) 292-1910

Phone(707) 292-1910

Fax(707) 292-1910

Sole ProprietorYes

Enumeration DateJuly 29, 2006

Last NPPES UpdateOctober 20, 2010

✔ NPI 1346254786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Licenses✔ Licensed in CA · PSY 20809✔ Licensed in NH · 1061

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.

840 3RD ST, Santa Rosa, CA 95404

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Other Identifiers 1

Medicare ID-Type UnspecifiedRE8064

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Andrew M. Prokopis Psy.d. 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 March 18, 2021 through March 18, 2027.

Opt-Out Effective DateMarch 18, 2021

Opt-Out In Effect ThroughMarch 18, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95404 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

$187.01 typical visit price

range $63.04 – $187.01

Typical copayment $46.75 (range $15.76 – $46.75)

Most-billed visit code 99205

Established Patient

$109.88 typical visit price

range $21.02 – $153.40

Typical copayment $27.47 (range $5.25 – $38.35)

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.

Other Providers at the Same Location NPPES 4

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

MR. JASON TROWBRIDGE MFT

Marriage & Family Therapist

840 3RD ST
SANTA ROSA, CA 95404

Sonoma County (707) 849-7032

BARBARA LYNN MOLLE

Marriage & Family Therapist

840 3RD ST
SANTA ROSA, CA 95404

Sonoma County (707) 579-5518

MRS. SHARON DIANE ACKROYD M.F.T.

Marriage & Family Therapist

840 3RD ST
SANTA ROSA, CA 95404

Sonoma County (707) 321-5662

MS. ANGE STEPHENS M.A., MFT

Counselor (Mental Health)

840 3RD ST
SANTA ROSA, CA 95404

Sonoma County (707) 328-5139

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 Andrew Prokopis's NPI number?

The NPI number for Andrew Prokopis is 1346254786. It was assigned to this individual provider in the NPPES registry on July 29, 2006.

Where is Andrew Prokopis located?

Andrew Prokopis practices at 840 3rd St, Santa Rosa, CA 95404. The listed phone number is (707) 292-1910.

What is Andrew Prokopis's specialty?

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

Is Andrew Prokopis enrolled in Medicare?

No. Andrew Prokopis has opted out of Medicare through March 18, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Andrew Prokopis accept?

Health plans from Harvard Pilgrim Health Care list Andrew Prokopis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Andrew Prokopis was last updated on October 20, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.