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ALBERT MODAD PSYD
NPI 1629453691
Psychologist - Clinical in San Clemente, CA

Active since July 20, 2015PECOS EnrolledAccepts Medicare Assignment
1211 PUERTA DEL SOL, SAN CLEMENTE, CA 92673(949) 276-5553 Get Directions Write a Review

NPPES record last updated: October 23, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Mar 16, 2018, Dec 6, 2017 (2 updates tracked since 2017).

About Albert Modad Psyd NPPES

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

ALBERT MODAD PSYD (NPI 1629453691) is an individual clinical provider in San Clemente, California, licensed in California (29697) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS, maintains a secondary practice location in El Cajon, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1629453691
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameALBERT MODADCredential: PSYD
Location Address1211 PUERTA DEL SOLSan Clemente, CA 92673-6306
Mailing Address823 Gateway Center WaySan Diego, CA 92102-4541 · (619) 906-4623 · Fax (619) 906-4564
Phone(949) 276-5553
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 20, 2015
Last NPPES UpdateOctober 23, 20242 updates tracked since enumeration
NPPES CertifiedOctober 23, 2024
✔ NPI 1629453691 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 · 29697
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.
1211 PUERTA DEL SOL, San Clemente, CA 92673
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Other Names 1

Other Name (5)Albert M Modad

Secondary Practice Location 1

Location 1338 W Lexington AveEl Cajon, CA 92020-4465 · Phone (619) 255-5499

Other Identifiers 1

Other39CA · Student In A Health Care Training Program

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

Albert Modad Psyd 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 ID7911269162
PECOS Enrollment IDI20180327003148
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 92673 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
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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

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

MALGORZATA INGA ORCUTT LMFT
Marriage & Family Therapist
1211 PUERTA DEL SOL, SUITE 280
SAN CLEMENTE, CA 92673
Orange County (949) 276-5553

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 Albert Modad's NPI number?

The NPI number for Albert Modad is 1629453691. It was assigned to this individual provider in the NPPES registry on July 20, 2015. The provider is also known as Albert M Modad.

Where is Albert Modad located?

Albert Modad practices at 1211 Puerta Del Sol, San Clemente, CA 92673. The listed phone number is (949) 276-5553.

What is Albert Modad's specialty?

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

Is Albert Modad enrolled in Medicare?

Yes. Albert Modad 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 Albert Modad was last updated on October 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.