DR. PETER PONDOLFINO PSYD - NPI 1407918832 - Psychologist in Santa Rosa, CA

Q: What is Peter Pondolfino's NPI number?

The NPI number for Peter Pondolfino is 1407918832. It was assigned to this individual provider in the NPPES registry on December 14, 2006.

Q: What is Peter Pondolfino'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 Peter Pondolfino was last updated on November 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

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About Dr. Peter Pondolfino Psyd NPPES

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

DR. PETER PONDOLFINO PSYD (NPI 1407918832) is an individual clinical provider in Santa Rosa, California, licensed in California (24167) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1989).

NPPES Registry Identity

NPI1407918832

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. PETER PONDOLFINOCredential: PSYD

Location Address143 ALDERBROOK DRSanta Rosa, CA 95405-4650

Mailing AddressPo Box 2722Santa Rosa, CA 95405 · (707) 322-4319

Phone(707) 322-4319

Sole ProprietorYes

Medical School CMSOtherGraduated 1989

Enumeration DateDecember 14, 2006

Last NPPES UpdateNovember 15, 2013

✔ NPI 1407918832 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 · 24167

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.

143 ALDERBROOK DR, Santa Rosa, CA 95405

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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. Peter Pondolfino Psyd 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 ID9739278193

PECOS Enrollment IDI20140114001117

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 95405 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.

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 Peter Pondolfino's NPI number?

The NPI number for Peter Pondolfino is 1407918832. It was assigned to this individual provider in the NPPES registry on December 14, 2006.

Where is Peter Pondolfino located?

Peter Pondolfino practices at 143 Alderbrook Dr, Santa Rosa, CA 95405. The listed phone number is (707) 322-4319.

What is Peter Pondolfino's specialty?

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

Is Peter Pondolfino enrolled in Medicare?

Yes. Peter Pondolfino 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.

What insurance does Peter Pondolfino accept?

Health plans from Providence Health Plan list Peter Pondolfino as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Peter Pondolfino was last updated on November 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.