DR. CAROLYN NAN GRACIE M.D.
NPI 1639260862
Psychiatry & Neurology - Psychiatry in Kentfield, CA

Active since September 26, 2006Opted out of Medicare · through Oct 1, 2027
810 COLLEGE AVE, SUITE 9, KENTFIELD, CA 94904(415) 459-4311 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Carolyn Nan Gracie M.d. NPPES

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

DR. CAROLYN NAN GRACIE M.D. (NPI 1639260862) is an individual psychiatry provider in Kentfield, California, licensed in California (A33033) and active in the NPI registry since September 2006. She has opted out of Medicare through October 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1639260862
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDR. CAROLYN NAN GRACIECredential: M.D.
Location Address810 COLLEGE AVE, SUITE 9Kentfield, CA 94904-2532
Mailing Address810 College Ave, Suite 9Kentfield, CA 94904-2532 · (415) 459-4311
Sole ProprietorYes
Enumeration DateSeptember 26, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1639260862 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 · A33033
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.
810 COLLEGE AVE, Kentfield, CA 94904

Other Identifiers 2

OtherA33033CA · License Number
Medicare UPINA27015CA

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. Carolyn Nan Gracie 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 October 1, 2013 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2013
Opt-Out In Effect ThroughOctober 1, 2027Opt-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 94904 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
$202.63 typical visit price
range $69.07 – $202.63
Typical copayment $50.65 (range $17.26 – $50.65)
Most-billed visit code 99205
Established Patient
$85.00 typical visit price
range $23.44 – $166.64
Typical copayment $21.25 (range $5.86 – $41.66)
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 4

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

Marriage & Family Therapist
810 COLLEGE AVE
KENTFIELD, CA 94904
Physical Therapist (Orthopedic)
810 COLLEGE AVE, SUITE 6
KENTFIELD, CA 94904
Psychiatry & Neurology (Child & Adolescent Psychiatry)
810 COLLEGE AVE, SUITE 2A
KENTFIELD, CA 94904
Dentist
810 COLLEGE AVE, SUITE 12
KENTFIELD, CA 94904

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 Carolyn Gracie's NPI number?

The NPI number for Carolyn Gracie is 1639260862. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Where is Carolyn Gracie located?

Carolyn Gracie practices at 810 College Ave Suite 9, Kentfield, CA 94904. The listed phone number is (415) 459-4311.

What is Carolyn Gracie's specialty?

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

Is Carolyn Gracie enrolled in Medicare?

No. Carolyn Gracie has opted out of Medicare through October 1, 2027. 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 Carolyn Gracie was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.