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DR. PHYLLIS IRENE CEDARS M.D.
NPI 1578720751
Psychiatry & Neurology - Psychiatry in Berkeley, CA

Active since May 16, 2008Opted out of Medicare · through Jun 24, 2028
2920 DOMINGO AVE, SUITE 204, BERKELEY, CA 94705(510) 466-5636 Get Directions Write a Review

NPPES record last updated: May 16, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Phyllis Irene Cedars M.d. NPPES

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

DR. PHYLLIS IRENE CEDARS M.D. (NPI 1578720751) is an individual psychiatry provider in Berkeley, California, licensed in California (G45712) and active in the NPI registry since May 2008. She has opted out of Medicare through June 24, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1578720751
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDR. PHYLLIS IRENE CEDARSCredential: M.D.
Location Address2920 DOMINGO AVE, SUITE 204Berkeley, CA 94705-2400
Mailing Address2920 Domingo Ave, Suite 204Berkeley, CA 94705-2400 · (510) 466-5636
Phone(510) 466-5636
Sole ProprietorYes
Enumeration DateMay 16, 2008
✔ NPI 1578720751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in CA · G45712
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.
2920 DOMINGO AVE, Berkeley, CA 94705
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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. Phyllis Irene Cedars M.d. 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 June 24, 2016 through June 24, 2028.

Opt-Out Effective DateJune 24, 2016
Opt-Out In Effect ThroughJune 24, 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 94705 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.

DR. KENNETH SEIDER PHD
Psychologist (Clinical)
2920 DOMINGO AVE
BERKELEY, CA 94705
Alameda County (510) 548-6015
MARGARET MARY FITZSIMMONS
Marriage & Family Therapist
2920 DOMINGO AVE, SUITE 204D
BERKELEY, CA 94705
Alameda County (510) 464-1030
MR. RAYMOND S. CAMPTON
Marriage & Family Therapist
2920 DOMINGO AVE, SUITE #203
BERKELEY, CA 94705
Alameda County (925) 746-7053

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 Phyllis Cedars's NPI number?

The NPI number for Phyllis Cedars is 1578720751. It was assigned to this individual provider in the NPPES registry on May 16, 2008.

Where is Phyllis Cedars located?

Phyllis Cedars practices at 2920 Domingo Ave Suite 204, Berkeley, CA 94705. The listed phone number is (510) 466-5636.

What is Phyllis Cedars's specialty?

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

Is Phyllis Cedars enrolled in Medicare?

No. Phyllis Cedars has opted out of Medicare through June 24, 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.

When was this NPI record last updated?

The NPPES record for Phyllis Cedars was last updated on May 16, 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.