HEIDI RONFELDT PHD
NPI 1568844579
Psychologist - Clinical in Oakland, CA

Active since June 25, 2015Opted out of Medicare · through Aug 11, 2027
5297 COLLEGE AVE STE 101, OAKLAND, CA 94618(510) 926-0490 Get Directions Write a Review

NPPES record last updated: June 25, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Heidi Ronfeldt Phd NPPES

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

HEIDI RONFELDT PHD (NPI 1568844579) is an individual clinical provider in Oakland, California, licensed in California (PSY16833) and active in the NPI registry since June 2015. She has opted out of Medicare through August 11, 2027.

NPPES Registry Identity

NPI1568844579
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameHEIDI RONFELDTCredential: PHD
Location Address5297 COLLEGE AVE STE 101Oakland, CA 94618-1462
Mailing Address5297 College Ave Ste 101Oakland, CA 94618-1462 · (510) 926-0490
Sole ProprietorYes
Enumeration DateJune 25, 2015
NPI 1568844579 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 · PSY16833
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.
5297 COLLEGE AVE STE 101, Oakland, CA 94618

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Heidi Ronfeldt 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 August 11, 2021 through August 11, 2027.

Opt-Out Effective DateAugust 11, 2021
Opt-Out In Effect ThroughAugust 11, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Heidi Ronfeldt's NPI number?

The NPI number for Heidi Ronfeldt is 1568844579. It was assigned to this individual provider in the NPPES registry on June 25, 2015.

Where is Heidi Ronfeldt located?

Heidi Ronfeldt practices at 5297 College Ave Ste 101, Oakland, CA 94618. The listed phone number is (510) 926-0490.

What is Heidi Ronfeldt's specialty?

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

Is Heidi Ronfeldt enrolled in Medicare?

No. Heidi Ronfeldt has opted out of Medicare through August 11, 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 Heidi Ronfeldt was last updated on June 25, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.