ELLEN SPURGEON PSYD
NPI 1497424840
Psychologist - Clinical in San Francisco, CA

Active since September 09, 2021Opted out of Medicare · through Mar 16, 2027
3739 BALBOA STREET 1077, SAN FRANCISCO, CA 94121(415) 496-5946 Get Directions Write a Review

NPPES record last updated: March 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 26, 2026, Jul 30, 2023, Jul 28, 2022 and 1 more (4 updates tracked since 2021).

About Ellen Spurgeon Psyd NPPES

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

ELLEN SPURGEON PSYD (NPI 1497424840) is an individual clinical provider in San Francisco, California, licensed in California (PSY33605) and active in the NPI registry since September 2021. She has opted out of Medicare through March 16, 2027.

NPPES Registry Identity

NPI1497424840
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameELLEN SPURGEONCredential: PSYD
Location Address3739 BALBOA STREET 1077San Francisco, CA 94121
Mailing Address3739 Balboa St # 1077San Francisco, CA 94121-2605 · (415) 496-5946
Sole ProprietorNo
Enumeration DateSeptember 9, 2021
Last NPPES UpdateMarch 26, 20264 updates tracked since enumeration
NPPES CertifiedMarch 26, 2026
NPI 1497424840 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 · PSY33605
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.
3739 BALBOA STREET 1077, San Francisco, CA 94121

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Ellen Spurgeon 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 March 16, 2023 through March 16, 2027.

Opt-Out Effective DateMarch 16, 2023
Opt-Out In Effect ThroughMarch 16, 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94121 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 Ellen Spurgeon's NPI number?

The NPI number for Ellen Spurgeon is 1497424840. It was assigned to this individual provider in the NPPES registry on September 9, 2021.

Where is Ellen Spurgeon located?

Ellen Spurgeon practices at 3739 Balboa Street 1077, San Francisco, CA 94121. The listed phone number is (415) 496-5946.

What is Ellen Spurgeon's specialty?

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

Is Ellen Spurgeon enrolled in Medicare?

No. Ellen Spurgeon has opted out of Medicare through March 16, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Ellen Spurgeon was last updated on March 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.