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DIANE HOLLAND ENGELMAN PH.D.
NPI 1437440476
Clinical Neuropsychologist in Kentfield, CA

Active since April 25, 2011Opted out of Medicare · through Apr 1, 2027
1044 SIR FRANCIS DRAKE BLVD STE 4, KENTFIELD, CA 94904(415) 721-7382(415) 721-7448 Get Directions Write a Review

NPPES record last updated: April 25, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Diane Holland Engelman Ph.d. NPPES

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

DIANE HOLLAND ENGELMAN PH.D. (NPI 1437440476) is an individual clinical neuropsychologist in Kentfield, California, licensed in (PSY11457) and active in the NPI registry since April 2011. She has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1437440476
Entity TypeIndividualFemale
Primary Taxonomy103G00000X
Provider Legal NameDIANE HOLLAND ENGELMANCredential: PH.D.
Location Address1044 SIR FRANCIS DRAKE BLVD STE 4Kentfield, CA 94904-1454
Mailing Address1044 Sir Francis Drake Blvd Ste 4Kentfield, CA 94904-1454 · (415) 721-7382 · Fax (415) 721-7448
Phone(415) 721-7382
Fax(415) 721-7448
Sole ProprietorYes
Enumeration DateApril 25, 2011
✔ NPI 1437440476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed · PSY11457
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License PSY11457 (CA)
1044 SIR FRANCIS DRAKE BLVD STE 4, Kentfield, CA 94904
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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

Diane Holland Engelman Ph.d. 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 April 1, 2017 through April 1, 2027.

Opt-Out Effective DateApril 1, 2017
Opt-Out In Effect ThroughApril 1, 2027Opt-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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TRACY BROOKE RYARU PH.D.
Psychologist
1044 SIR FRANCIS DRAKE BLVD STE 4
KENTFIELD, CA 94904
Marin County (415) 721-3344

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 Diane Engelman's NPI number?

The NPI number for Diane Engelman is 1437440476. It was assigned to this individual provider in the NPPES registry on April 25, 2011.

Where is Diane Engelman located?

Diane Engelman practices at 1044 Sir Francis Drake Blvd Ste 4, Kentfield, CA 94904. The listed phone number is (415) 721-7382.

What is Diane Engelman's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Diane Engelman enrolled in Medicare?

No. Diane Engelman has opted out of Medicare through April 1, 2027. 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 Diane Engelman was last updated on April 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.