STEPHANIE ATHENA CLAUDATOS PHD, DBSM
NPI 1417513482
Psychologist - Clinical in San Pablo, CA

Active since May 15, 2019PECOS Enrolled
1538 BEAU RIVAGE, SAN PABLO, CA 94806(650) 485-1406 Get Directions Write a Review

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

Record update history: May 8, 2026, Dec 5, 2025, Dec 17, 2019 and 1 more (4 updates tracked since 2019).

About Stephanie Athena Claudatos Phd, Dbsm NPPES

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

STEPHANIE ATHENA CLAUDATOS PHD, DBSM (NPI 1417513482) is an individual clinical provider in San Pablo, California, licensed in California (PSY34523) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1417513482
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameSTEPHANIE ATHENA CLAUDATOSCredential: PHD, DBSM
Location Address1538 BEAU RIVAGESan Pablo, CA 94806-4115
Mailing Address1506 2201 Shore Line Dr, #1506Alameda, CA 94501 · (408) 515-3925
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateMay 15, 2019
Last NPPES UpdateMay 8, 20264 updates tracked since enumeration
NPPES CertifiedMay 8, 2026
NPI 1417513482 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 · PSY34523
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.
1538 BEAU RIVAGE, San Pablo, CA 94806

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Stephanie Athena Claudatos Phd, Dbsm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4486190378
PECOS Enrollment IDI20240727000453
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
31 services13 patients
Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
27 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94806 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
$202.35 typical visit price
range $69.00 – $202.35
Typical copayment $50.58 (range $17.25 – $50.58)
Most-billed visit code 99205
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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 Stephanie Claudatos's NPI number?

The NPI number for Stephanie Claudatos is 1417513482. It was assigned to this individual provider in the NPPES registry on May 15, 2019.

Where is Stephanie Claudatos located?

Stephanie Claudatos practices at 1538 Beau Rivage, San Pablo, CA 94806. The listed phone number is (650) 485-1406.

What is Stephanie Claudatos's specialty?

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

Is Stephanie Claudatos enrolled in Medicare?

Yes. Stephanie Claudatos is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stephanie Claudatos was last updated on May 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.