DR. MARY M RODOCKER PHD
NPI 1548446750
Psychologist - Clinical in Palo Alto, CA

Q: What is Mary Rodocker's NPI number?

The NPI number for Mary Rodocker is 1548446750. It was assigned to this individual provider in the NPPES registry on January 17, 2008.

Q: What is Mary Rodocker's specialty?

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

Q: Is Mary Rodocker enrolled in Medicare?

No. Mary Rodocker has opted out of Medicare through March 7, 2028. 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.

Q: When was this NPI record last updated?

The NPPES record for Mary Rodocker was last updated on January 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since January 17, 2008Opted out of Medicare · through Mar 7, 2028

555 MIDDLEFIELD RD, PALO ALTO, CA 94301(650) 321-9881(650) 493-8271 Get Directions Write a Review

NPPES record last updated: January 17, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Mary M Rodocker Phd NPPES

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

DR. MARY M RODOCKER PHD (NPI 1548446750) is an individual clinical provider in Palo Alto, California, licensed in California (PSY13278) and active in the NPI registry since January 2008. She has opted out of Medicare through March 7, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1548446750

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. MARY M RODOCKERCredential: PHD

Location Address555 MIDDLEFIELD RDPalo Alto, CA 94301

Mailing Address555 Middlefield RdPalo Alto, CA 94301 · (650) 321-9881 · Fax (650) 493-8271

Phone(650) 321-9881

Fax(650) 493-8271

Sole ProprietorYes

Enumeration DateJanuary 17, 2008

✔ NPI 1548446750 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 · PSY13278

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.

555 MIDDLEFIELD RD, Palo Alto, CA 94301

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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

Dr. Mary M Rodocker Phd 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 7, 2020 through March 7, 2028.

Opt-Out Effective DateMarch 7, 2020

Opt-Out In Effect ThroughMarch 7, 2028Opt-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 94301 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.

Other Providers at the Same Location NPPES 20

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

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