DAVID VELLEMAN PSYD
NPI 1427308733
Psychologist - Clinical in San Pablo, CA

Q: What is David Velleman's NPI number?

The NPI number for David Velleman is 1427308733. It was assigned to this individual provider in the NPPES registry on September 13, 2012.

Q: What is David Velleman's specialty?

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

Q: Is David Velleman enrolled in Medicare?

No. David Velleman has opted out of Medicare through November 13, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for David Velleman was last updated on November 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 September 13, 2012Opted out of Medicare · through Nov 13, 2027

13601 SAN PABLO AVE, SAN PABLO, CA 94806(925) 681-4190 Get Directions Write a Review

NPPES record last updated: November 14, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About David Velleman Psyd NPPES

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

DAVID VELLEMAN PSYD (NPI 1427308733) is an individual clinical provider in San Pablo, California, licensed in California (PSY28603) and active in the NPI registry since September 2012. He has opted out of Medicare through November 13, 2027.

NPPES Registry Identity

NPI1427308733

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDAVID VELLEMANCredential: PSYD

Location Address13601 SAN PABLO AVESan Pablo, CA 94806-3818

Mailing Address13601 San Pablo AveSan Pablo, CA 94806-3818 · (925) 681-4190

Phone(925) 681-4190

Sole ProprietorNo

Enumeration DateSeptember 13, 2012

Last NPPES UpdateNovember 14, 2016

✔ NPI 1427308733 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 · PSY28603

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.

13601 SAN PABLO AVE, San Pablo, CA 94806

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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

David Velleman Psyd 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 November 13, 2023 through November 13, 2027.

Opt-Out Effective DateNovember 13, 2023

Opt-Out In Effect ThroughNovember 13, 2027Opt-out affidavits renew automatically every two years unless cancelled

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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.

MS. RACHEL LEIGH GREENBERG

Psychologist (Clinical)