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JACK VANBEZOOYEN
NPI 1346773504
Psychiatry & Neurology - Psychiatry in Corte Madera, CA

Active since April 05, 2017PECOS Enrolled
240 TAMAL VISTA BLVD, CORTE MADERA, CA 94925(916) 969-7074 Get Directions Write a Review

NPPES record last updated: May 31, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jack Vanbezooyen NPPES

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

JACK VANBEZOOYEN (NPI 1346773504) is an individual psychiatry provider in Corte Madera, California, licensed in California (171751) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346773504
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameJACK VANBEZOOYEN
Location Address240 TAMAL VISTA BLVDCorte Madera, CA 94925-1132
Mailing Address1001 Potrero AveSan Francisco, CA 94110-3518
Phone(916) 969-7074
Sole ProprietorYes
Enumeration DateApril 5, 2017
Last NPPES UpdateMay 31, 2022
NPPES CertifiedMay 31, 2022
✔ NPI 1346773504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in CA · 171751
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
240 TAMAL VISTA BLVD, Corte Madera, CA 94925
Open in Google Maps ↗

Other Names 1

Professional Name (2)Jack Van Bezooyen

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jack Vanbezooyen 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Jack Vanbezooyen reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

County Of Marin
1.1 mi
Mental Health (Including Community Mental Health Center)
250 BON AIR
Greenbrae, CA 94904
  • Reassigned Medicare billing, California enrollment
  • 34 clinicians in this Medicare group
NPI 1568525699 (415) 473-7818
City & County Of San Francisco
11 mi
Primary Care
729 FILBERT ST
San Francisco, CA 94133
  • Reassigned Medicare billing, California enrollment
  • 1,573 clinicians in this Medicare group
NPI 1023579356 (415) 352-2000
Bay Psychiatric Associates
14 mi
Psychiatry
2020 MILVIA ST STE 440
Berkeley, CA 94704
  • Reassigned Medicare billing, California enrollment
  • 116 clinicians in this Medicare group
NPI 1427163229 (510) 204-4635

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94925 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
$85.00 typical visit price
range $23.44 – $166.64
Typical copayment $21.25 (range $5.86 – $41.66)
Most-billed visit code 99213
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 10

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

LYNN MCLEOD LYNN MCLEOD, MFT
Marriage & Family Therapist
240 TAMAL VISTA BLVD, SUITE 162
CORTE MADERA, CA 94925
Marin County (415) 388-2544
MRS. ESTHER G STONE M.S,S,W,
Social Worker (Clinical)
240 TAMAL VISTA BLVD, #290
CORTE MADERA, CA 94925
Marin County (415) 272-3369
MS. JACQUELINE MAY LADRECH MS, MFT
Counselor (Mental Health)
240 TAMAL VISTA BLVD, SUITE 270
CORTE MADERA, CA 94925
Marin County (415) 479-9008
CATHERINE E. MAIN, INC.
Psychologist
240 TAMAL VISTA BLVD, SUITE 270
CORTE MADERA, CA 94925
Marin County (415) 457-0424
DR. CHARLES S FLECKLES MD
Psychiatry & Neurology (Psychiatry)
240 TAMAL VISTA BLVD, SUITE 162
CORTE MADERA, CA 94925
Marin County (415) 927-1444
DR. ERNEST TROY BRYANT PHD
Clinical Neuropsychologist
240 TAMAL VISTA BLVD
CORTE MADERA, CA 94925
Marin County (415) 927-7748
DR. SHEVA L FELD PHD
Psychologist (Clinical)
240 TAMAL VISTA BLVD, STE 290
CORTE MADERA, CA 94925
Marin County (415) 924-8496
MS. NAOMI BUTLER M.F.T.
Marriage & Family Therapist
240 TAMAL VISTA BLVD, SUITE 270
CORTE MADERA, CA 94925
Marin County (415) 883-4041

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 Jack Vanbezooyen's NPI number?

The NPI number for Jack Vanbezooyen is 1346773504. It was assigned to this individual provider in the NPPES registry on April 5, 2017. The provider is also known as Jack Van Bezooyen.

Where is Jack Vanbezooyen located?

Jack Vanbezooyen practices at 240 Tamal Vista Blvd, Corte Madera, CA 94925. The listed phone number is (916) 969-7074.

What is Jack Vanbezooyen's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Jack Vanbezooyen enrolled in Medicare?

Yes. Jack Vanbezooyen is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jack Vanbezooyen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jack Vanbezooyen reassigns Medicare benefits to 3 organizations: County Of Marin (Greenbrae, CA), City & County Of San Francisco (San Francisco, CA) and Bay Psychiatric Associates (Berkeley, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jack Vanbezooyen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jack Vanbezooyen was last updated on May 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.