DIANE A. SUFFRIDGE PH.D.
NPI 1649282450
Psychologist - Clinical in San Rafael, CA
About Diane A. Suffridge Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DIANE A. SUFFRIDGE PH.D. (NPI 1649282450) is an individual clinical provider in San Rafael, California, licensed in California (PSY10707) and active in the NPI registry since August 2006. She has opted out of Medicare through January 1, 2027 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Diane A. Suffridge Ph.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 January 1, 2015 through January 1, 2027.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94903 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SAN RAFAEL, CA 94903
SAN RAFAEL, CA 94903
SAN RAFAEL, CA 94903
SAN RAFAEL, CA 94903
SAN RAFAEL, CA 94903
SAN RAFAEL, CA 94903
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 Diane Suffridge's NPI number?
The NPI number for Diane Suffridge is 1649282450. It was assigned to this individual provider in the NPPES registry on August 12, 2006.
Where is Diane Suffridge located?
Diane Suffridge practices at 555 Northgate Dr Family Service Agency Of Marin, San Rafael, CA 94903. The listed phone number is (415) 491-5708.
What is Diane Suffridge's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Diane Suffridge enrolled in Medicare?
No. Diane Suffridge has opted out of Medicare through January 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 Diane Suffridge was last updated on July 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Diane A. Suffridge, PH.D. · NPI 1649282450
Clinical provider in San Rafael, California. Individual provider, active in the CMS NPPES registry since August 12, 2006.
## Identity
- **NPI:** 1649282450 (Entity type: Individual)
- **Enumerated:** August 12, 2006
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** PSY10707 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 555 NORTHGATE DR, FAMILY SERVICE AGENCY OF MARIN, San Rafael, CA 94903-3680
- **Phone:** (415) 491-5708
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through January 1, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** July 16, 2014
- **Other identifiers:** Medicare ID-Type Unspecified OPL107070 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1649282450) · Data from the CMS NPPES public registry.