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DR. JOHN EUGENE OBEDZINSKI MD
NPI 1396947685
Psychiatry & Neurology - Child & Adolescent Psychiatry in Corte Madera, CA

Active since May 31, 2007Opted out of Medicare · through Dec 1, 2026
21 TAMAL VISTA BLVD, SUITE 240, CORTE MADERA, CA 94925(415) 924-2205(415) 488-0952 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. John Eugene Obedzinski Md NPPES

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

DR. JOHN EUGENE OBEDZINSKI MD (NPI 1396947685) is an individual child & adolescent psychiatry provider in Corte Madera, California, licensed in California (G24321) and active in the NPI registry since May 2007. He has opted out of Medicare through December 1, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1396947685
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameDR. JOHN EUGENE OBEDZINSKICredential: MD
Location Address21 TAMAL VISTA BLVD, SUITE 240Corte Madera, CA 94925-1130
Mailing Address21 Tamal Vista Blvd, Suite 240Corte Madera, CA 94925-1130 · (415) 924-2205 · Fax (415) 488-0952
Phone(415) 924-2205
Fax(415) 488-0952
Sole ProprietorYes
Enumeration DateMay 31, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1396947685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in CA · G24321
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
21 TAMAL VISTA BLVD, Corte Madera, CA 94925
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. John Eugene Obedzinski Md 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 December 1, 2014 through December 1, 2026.

Opt-Out Effective DateDecember 1, 2014
Opt-Out In Effect ThroughDecember 1, 2026Opt-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.

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.

FARAHKHAN,MD,INC
Psychiatry & Neurology (Psychiatry)
21 TAMAL VISTA BLVD, 224
CORTE MADERA, CA 94925
Marin County (415) 999-1259
COURAGEOUS COUNSELING CENTER
Clinic/Center (Mental Health (Including Community Mental Health Center))
21 TAMAL VISTA BLVD
CORTE MADERA, CA 94925
Marin County (415) 448-6780
RUTH RUBIN M.D.
Internal Medicine
21 TAMAL VISTA BLVD, STE. 100
CORTE MADERA, CA 94925
Marin County (415) 927-0101
MR. STEFAN BENTON MFT
Marriage & Family Therapist
21 TAMAL VISTA BLVD, SUITE 224
CORTE MADERA, CA 94925
Marin County (415) 924-7785
PAUL ANTHONY MARRA LMFT
Marriage & Family Therapist
21 TAMAL VISTA BLVD, SUITE 200
CORTE MADERA, CA 94925
Marin County (415) 939-1851
DR. ARBELLA ODISHOO PARROT PSYD
Psychologist (Clinical)
21 TAMAL VISTA BLVD, SUITE 203
CORTE MADERA, CA 94925
Marin County (415) 548-3370
JENNIFER CAPPELLETTI LMFT 146548
Marriage & Family Therapist
21 TAMAL VISTA BLVD
CORTE MADERA, CA 94925
Marin County (415) 496-6584
DR. PAMELA MARGARET ASHKENAZY LMFT, PH.D.
Counselor (Professional)
21 TAMAL VISTA BLVD, SUITE 116
CORTE MADERA, CA 94925
Marin County (415) 945-9098

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 John Obedzinski's NPI number?

The NPI number for John Obedzinski is 1396947685. It was assigned to this individual provider in the NPPES registry on May 31, 2007.

Where is John Obedzinski located?

John Obedzinski practices at 21 Tamal Vista Blvd Suite 240, Corte Madera, CA 94925. The listed phone number is (415) 924-2205.

What is John Obedzinski's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is John Obedzinski enrolled in Medicare?

No. John Obedzinski has opted out of Medicare through December 1, 2026. 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.

When was this NPI record last updated?

The NPPES record for John Obedzinski was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.