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DR. ICELINI STAVERS-SOSA MD
NPI 1508067273
Psychiatry & Neurology - Psychiatry in Oakland, CA

Active since May 30, 2007PECOS EnrolledAccepts Medicare Assignment
1200 CLAY ST, OAKLAND, CA 94612(813) 445-6182 Get Directions Write a Review

NPPES record last updated: May 6, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 6, 2022, Feb 8, 2022, Oct 13, 2021 and 2 more (5 updates tracked since 2016).

About Dr. Icelini Stavers-sosa Md NPPES

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

DR. ICELINI STAVERS-SOSA MD (NPI 1508067273) is an individual psychiatry provider in Oakland, California, licensed in California (175151) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1508067273
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDR. ICELINI STAVERS-SOSACredential: MD
Location Address1200 CLAY STOakland, CA 94612-1400
Mailing Address1200 Clay StOakland, CA 94612-1400 · (813) 445-6182
Phone(813) 445-6182
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateMay 30, 2007
Last NPPES UpdateMay 6, 20225 updates tracked since enumeration
NPPES CertifiedMay 6, 2022
✔ NPI 1508067273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in CA · 175151✔ Licensed in NY · 270537
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1200 CLAY ST, Oakland, CA 94612
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Other Identifiers 1

Medicaid03280357NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Icelini Stavers-sosa Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385886084
PECOS Enrollment IDI20220607001566
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94612 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
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

SARAH TEREZIA OROSZ LCSW
Social Worker (Clinical)
1200 CLAY ST
OAKLAND, CA 94612
Alameda County (510) 752-1035
ANNA LEE PSYD
Psychologist (Clinical)
1200 CLAY ST
OAKLAND, CA 94612
Alameda County (650) 591-3636
HARJIT KAUR MD
Psychiatry & Neurology (Psychiatry)
1200 CLAY ST
OAKLAND, CA 94612
Alameda County (510) 752-1075

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 Icelini Stavers-sosa's NPI number?

The NPI number for Icelini Stavers-sosa is 1508067273. It was assigned to this individual provider in the NPPES registry on May 30, 2007.

Where is Icelini Stavers-sosa located?

Icelini Stavers-sosa practices at 1200 Clay St, Oakland, CA 94612. The listed phone number is (813) 445-6182.

What is Icelini Stavers-sosa's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Icelini Stavers-sosa enrolled in Medicare?

Yes. Icelini Stavers-sosa is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Icelini Stavers-sosa was last updated on May 6, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.