DR. CAROLYN S. STROEBE LICENSEDPSYCHOLOGIST
NPI 1457564494
Psychologist in San Rafael, CA

NPI Status: Active since May 07, 2007

Contact Information

1050 NORTHGATE DR STE 12
SAN RAFAEL, CA
ZIP 94903
Phone: (510) 843-9207

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  • Individual
  • Female
  • Psychologist
  • Opted-Out Medicare

About CAROLYN STROEBE

This page provides the complete NPI Profile along with additional information for Carolyn Stroebe, a provider established in San Rafael, California with a medical specialization in Psychologist. The healthcare provider is registered in the NPI registry with number 1457564494 assigned on May 2007. The practitioner's primary taxonomy code is 103T00000X with license number PSY11564 (CA). The provider is registered as an individual and her NPI record was last updated 8 years ago.

NPI
1457564494
Provider Name
DR. CAROLYN S. STROEBE LICENSEDPSYCHOLOGIST
Gender
Female
Entity Type
Individual
Location Address
1050 NORTHGATE DR STE 12 SAN RAFAEL, CA 94903
Location Phone
(510) 843-9207
Mailing Address
1050 NORTHGATE DR STE 12 SAN RAFAEL, CA 94903
Mailing Phone
(510) 843-9207
Is Sole Proprietor?
Yes
Enumeration Date
05-07-2007
Last Update Date
07-20-2018
Code Navigator

A psychologist like Carolyn Stroebe studies cognitive, emotional, social processes and behavior by observing, interpreting, and recording how people relate to one another and to their environments. Psychologists gather information and evaluate behavior through controlled laboratory experiments, psychoanalysis, psychotherapy or through personality, performance, aptitude, or intelligence tests, and use this information when testing theories in their research or when treating patients.

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Carolyn Stroebe opted out of Medicare effective on 07-01-2025 until 07-01-2027. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.

Location Map

Secondary Locations

  • 1496 Solano Ave
    Albany, CA 94706
    (510) 843-9207

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist

Taxonomy Code
103T00000X
Type
Behavioral Health & Social Service Providers
License No.
PSY11564
License State
CA
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1103TA0700XBehavioral Health & Social Service Providers

Psychologist
Adult Development & Aging

PSY11564 (CA)
2103TB0200XBehavioral Health & Social Service Providers

Psychologist
Cognitive & Behavioral

PSY11564 (CA)
3103TC0700XBehavioral Health & Social Service Providers

Psychologist
Clinical

PSY11564 (CA)
4103TC1900XBehavioral Health & Social Service Providers

Psychologist
Counseling

PSY11564 (CA)
5103TF0000XBehavioral Health & Social Service Providers

Psychologist
Family

PSY11564 (CA)
6103TH0004XBehavioral Health & Social Service Providers

Psychologist
Health

PSY11564 (CA)
7103TH0100XBehavioral Health & Social Service Providers

Psychologist
Health Service

PSY11564 (CA)

Medicare Participation & PECOS Enrollment Status

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 07-01-2025

  • Opt-Out End Date: 07-01-2027

  • Eligible to Order and Refer? No

Reviews for DR. CAROLYN S. STROEBE LICENSEDPSYCHOLOGIST

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1457564494, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
7
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
6
Unchanged
Pos 7
4
Doubled → 8
Pos 8
4
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 5 → 10 → 1 4 → 8 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 0 + 7 + 1 + 0 + 6 + 8 + 4 + 1 + 8 + 24 = 66

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1457564494.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Psychologist (Clinical)
1050 NORTHGATE DR STE 12
SAN RAFAEL, CA 94903

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457564494, enumerated as an "individual" on May 07, 2007.

The provider is located at 1050 NORTHGATE DR STE 12 SAN RAFAEL, CA 94903 and the phone number is (510) 843-9207.

Psychologist with taxonomy code 103T00000X.