JUDITH J PROCHASKA PHD
NPI 1548417561
Psychologist - Clinical in Stanford, CA

Active since August 20, 2008PECOS Enrolled
1265 WELCH RD # X306, STANFORD, CA 94305(650) 724-3608 Get Directions Write a Review

NPPES record last updated: April 26, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 26, 2024, Feb 6, 2017 (2 updates tracked since 2017).

About Judith J Prochaska Phd NPPES

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

JUDITH J PROCHASKA PHD (NPI 1548417561) is an individual clinical provider in Stanford, California, licensed in California (CA PSY 20687) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548417561
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameJUDITH J PROCHASKACredential: PHD
Location Address1265 WELCH RD # X306Stanford, CA 94305-5102
Mailing Address300 Pasteur DrStanford, CA 94305-2200 · (650) 723-4000
Sole ProprietorNo
Enumeration DateAugust 20, 2008
Last NPPES UpdateApril 26, 20242 updates tracked since enumeration
NPPES CertifiedApril 26, 2024
NPI 1548417561 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 · CA PSY 20687
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.
1265 WELCH RD # X306, Stanford, CA 94305

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Judith J Prochaska Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 94305 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
$206.04 typical visit price
range $70.37 – $206.04
Typical copayment $51.51 (range $17.59 – $51.51)
Most-billed visit code 99205
Established Patient
$121.77 typical visit price
range $23.96 – $169.60
Typical copayment $30.44 (range $5.99 – $42.40)
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 Judith Prochaska's NPI number?

The NPI number for Judith Prochaska is 1548417561. It was assigned to this individual provider in the NPPES registry on August 20, 2008.

Where is Judith Prochaska located?

Judith Prochaska practices at 1265 Welch Rd # X306, Stanford, CA 94305. The listed phone number is (650) 724-3608.

What is Judith Prochaska's specialty?

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

Is Judith Prochaska enrolled in Medicare?

Yes. Judith Prochaska is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Judith Prochaska was last updated on April 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.