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ASHLEY MELISSA TATE DE LARA PSY.D.
NPI 1366777906
Psychologist - Clinical in San Jose, CA

Active since October 15, 2009PECOS EnrolledAccepts Medicare Assignment
650 N WINCHESTER BLVD, SUITE 4, SAN JOSE, CA 95128(650) 271-4621 Get Directions Write a Review

NPPES record last updated: January 20, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 20, 2022, Aug 25, 2021 (2 updates tracked since 2021).

About Ashley Melissa Tate De Lara Psy.d. NPPES

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

ASHLEY MELISSA TATE DE LARA PSY.D. (NPI 1366777906) is an individual clinical provider in San Jose, California, licensed in California (PSY23064) and active in the NPI registry since October 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1366777906
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameASHLEY MELISSA TATE DE LARACredential: PSY.D.
Location Address650 N WINCHESTER BLVD, SUITE 4San Jose, CA 95128-1511
Mailing Address1800 Harrison St, 7th FlOakland, CA 94612-3429 · (510) 625-4101 · Fax (877) 738-4262
Phone(650) 271-4621
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateOctober 15, 2009
Last NPPES UpdateJanuary 20, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2022
✔ NPI 1366777906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · PSY23064
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.
650 N WINCHESTER BLVD, San Jose, CA 95128
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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

Ashley Melissa Tate De Lara 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 ID2466581038
PECOS Enrollment IDI20100520000686
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95128 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
$206.04 typical visit price
range $70.37 – $206.04
Typical copayment $51.51 (range $17.59 – $51.51)
Most-billed visit code 99205
Established Patient
$121.77 typical visit price
range $23.96 – $169.60
Typical copayment $30.44 (range $5.99 – $42.40)
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 3

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

DR. KIM HONG N VO DC
Chiropractor
650 N WINCHESTER BLVD, STE 1B
SAN JOSE, CA 95128
Santa Clara County (408) 615-1193
DR. GLENN J CRAFTS DC
Chiropractor
650 N WINCHESTER BLVD, STE 1B
SAN JOSE, CA 95128
Santa Clara County (408) 615-1193
DR. SOPHIA LIN OTT PSYD
Psychologist (Clinical)
650 N WINCHESTER BLVD, SUITE 4
SAN JOSE, CA 95128
Santa Clara County (408) 457-1892

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 Ashley Tate De Lara's NPI number?

The NPI number for Ashley Tate De Lara is 1366777906. It was assigned to this individual provider in the NPPES registry on October 15, 2009.

Where is Ashley Tate De Lara located?

Ashley Tate De Lara practices at 650 N Winchester Blvd Suite 4, San Jose, CA 95128. The listed phone number is (650) 271-4621.

What is Ashley Tate De Lara's specialty?

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

Is Ashley Tate De Lara enrolled in Medicare?

Yes. Ashley Tate De Lara 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 Ashley Tate De Lara was last updated on January 20, 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.