DR. SUSAN EDELSTEIN PHD
NPI 1407011547
Psychologist in San Anselmo, CA

Active since July 28, 2008PECOS EnrolledAccepts Medicare Assignment
14 SUNVIEW AVE, SAN ANSELMO, CA 94960(415) 302-2246 Get Directions Write a Review

NPPES record last updated: January 22, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jan 22, 2021, Nov 20, 2020 (2 updates tracked since 2020).

About Dr. Susan Edelstein Phd NPPES

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

DR. SUSAN EDELSTEIN PHD (NPI 1407011547) is an individual psychologist in San Anselmo, California, licensed in California (PSY14535) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1407011547
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. SUSAN EDELSTEINCredential: PHD
Location Address14 SUNVIEW AVESan Anselmo, CA 94960-1464
Mailing AddressPo Box 3012San Anselmo, CA 94979-3012 · (415) 456-6785
Sole ProprietorYes
Medical School CMSOtherGraduated 1992
Enumeration DateJuly 28, 2008
Last NPPES UpdateJanuary 22, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2021
NPI 1407011547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · PSY14535
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
14 SUNVIEW AVE, San Anselmo, CA 94960

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. Susan Edelstein Phd 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 ID9436482551
PECOS Enrollment IDI20190605000511
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.

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 Susan Edelstein's NPI number?

The NPI number for Susan Edelstein is 1407011547. It was assigned to this individual provider in the NPPES registry on July 28, 2008.

Where is Susan Edelstein located?

Susan Edelstein practices at 14 Sunview Ave, San Anselmo, CA 94960. The listed phone number is (415) 302-2246.

What is Susan Edelstein's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Susan Edelstein enrolled in Medicare?

Yes. Susan Edelstein 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 Susan Edelstein was last updated on January 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.