DR. LORI RICE PANDOLFO PSY.D.
NPI 1386168425
Psychologist - Clinical in Santa Rosa, CA

Q: What is Lori Pandolfo's NPI number?

The NPI number for Lori Pandolfo is 1386168425. It was assigned to this individual provider in the NPPES registry on July 31, 2017.

Q: What is Lori Pandolfo's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lori Pandolfo was last updated on August 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 31, 2017PECOS EnrolledAccepts Medicare Assignment

320 10TH ST STE 301, SANTA ROSA, CA 95401(707) 800-9850 Get Directions Write a Review

NPPES record last updated: August 8, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 8, 2018, Jul 31, 2017 (2 updates tracked since 2017).

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About Dr. Lori Rice Pandolfo Psy.d. NPPES

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

DR. LORI RICE PANDOLFO PSY.D. (NPI 1386168425) is an individual clinical provider in Santa Rosa, California, licensed in California (PSY22049) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1386168425

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. LORI RICE PANDOLFOCredential: PSY.D.

Location Address320 10TH ST STE 301Santa Rosa, CA 95401

Mailing Address320 10th St Ste 301Santa Rosa, CA 95401-5291 · (707) 800-9850

Phone(707) 800-9850

Sole ProprietorYes

Medical School CMSOtherGraduated 2006

Enumeration DateJuly 31, 2017

Last NPPES UpdateAugust 8, 20182 updates tracked since enumeration

✔ NPI 1386168425 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 · PSY22049

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.

320 10TH ST STE 301, Santa Rosa, CA 95401

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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

Dr. Lori Rice Pandolfo 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 ID3971867102

PECOS Enrollment IDI20180515003120

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 95401 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

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

DR. ALISA LIGUORI STRATTON PH.D.

Psychologist

320 10TH ST STE 301, SANTA ROSA
SANTA ROSA, CA 95401

Sonoma County (707) 527-0260

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 Lori Pandolfo's NPI number?

The NPI number for Lori Pandolfo is 1386168425. It was assigned to this individual provider in the NPPES registry on July 31, 2017.

Where is Lori Pandolfo located?

Lori Pandolfo practices at 320 10th St Ste 301, Santa Rosa, CA 95401. The listed phone number is (707) 800-9850.

What is Lori Pandolfo's specialty?

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

Is Lori Pandolfo enrolled in Medicare?

Yes. Lori Pandolfo 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 Lori Pandolfo was last updated on August 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.