1. Home
  2. Directory
  3. California
  4. San Francisco
  5. Psychologist
  6. NPI Profile

DR. POORNI G. OTILINGAM PH.D.
NPI 1649573064
Psychologist - Adult Development & Aging in San Francisco, CA

Active since December 07, 2010Opted out of Medicare · through Apr 1, 2028
4150 CLEMENT STREET, SAN FRANCISCO VETERANS AFFAIRS MEDICAL CENTER, SAN FRANCISCO, CA 94121(415) 221-4810 Get Directions Write a Review

NPPES record last updated: December 7, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Poorni G. Otilingam Ph.d. NPPES

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

DR. POORNI G. OTILINGAM PH.D. (NPI 1649573064) is an individual adult development & aging provider in San Francisco, California and active in the NPI registry since December 2010. She has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1649573064
Entity TypeIndividualFemale
Primary Taxonomy103TA0700X
Provider Legal NameDR. POORNI G. OTILINGAMCredential: PH.D.
Location Address4150 CLEMENT STREET, SAN FRANCISCO VETERANS AFFAIRS MEDICAL CENTERSan Francisco, CA 94121-1545
Mailing Address4150 Clement Street, San Francisco Va Medical CenterSan Francisco, CA 94121-1545 · (415) 221-4810
Phone(415) 221-4810
Sole ProprietorNo
Enumeration DateDecember 7, 2010
✔ NPI 1649573064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Adult Development & AgingBehavioral Health & Social Service Providers
Taxonomy Code103TA0700X
Definition
A psychologist who specializes in geropsychology, which applies the knowledge and methods of psychology to understanding and helping older persons and their families to maintain well-being, overcome problems and achieve maximum potential during later life. Professional geropsychology appreciates the wide diversity among older adults, the complex ethical issues that can arise in geriatric practice and the importance of interdisciplinary models of care.
4150 CLEMENT STREET, San Francisco, CA 94121
Open in Google Maps ↗

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. Poorni G. Otilingam 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 April 1, 2014 through April 1, 2028.

Opt-Out Effective DateApril 1, 2014
Opt-Out In Effect ThroughApril 1, 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.

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.

DR. KAREN LYNN PARKO M.D.
Psychiatry & Neurology (Neurology)
4150 CLEMENT STREET, VAMC 127
SAN FRANCISCO, CA 94121
San Francisco County (415) 221-4810
MR. VICTOR CHIU YEE RCP
Respiratory Therapist, Certified
4150 CLEMENT STREET
SAN FRANCISCO, CA 94121
San Francisco County (415) 221-4810
JOEL ARTHUR SIMON MD
Internal Medicine
4150 CLEMENT STREET, GIMS 111A1 SAN FRANCISCO VA MEDICAL CENTER
SAN FRANCISCO, CA 94121
San Francisco County (415) 750-2093
DR. DAVID JACK SOFFA MD
Radiology (Diagnostic Radiology)
4150 CLEMENT STREET, VA MEDICAL CENTER
SAN FRANCISCO, CA 94121
San Francisco County (415) 221-4810
DR. ROBERT JEFFERY KOHLWES MD, MPH
Internal Medicine
4150 CLEMENT STREET, VETERANS AFFAIRS HOSPITAL
SAN FRANCISCO, CA 94121
San Francisco County (415) 221-4810
JACOB BURROUGHS
Student in an Organized Health Care Education/Training Program
4150 CLEMENT STREET, BLDG. 200 1ST FLOOR, ROOM 1D-007
SAN FRANCISCO, CA 94121
San Francisco County (415) 221-4810
MS. MICHELLE ANN TAPIA MSW
Social Worker
4150 CLEMENT STREET, BUILDING 208
SAN FRANCISCO, CA 94121
San Francisco County (415) 221-4810
MS. ALEXANDRA MARIE RUTHERFORD MS, RN, PHN, AGPCNP
Nurse Practitioner (Primary Care)
4150 CLEMENT STREET
SAN FRANCISCO, CA 94121
San Francisco County (415) 221-4810

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 Poorni Otilingam's NPI number?

The NPI number for Poorni Otilingam is 1649573064. It was assigned to this individual provider in the NPPES registry on December 7, 2010.

Where is Poorni Otilingam located?

Poorni Otilingam practices at 4150 Clement Street San Francisco Veterans Affairs Medical Center, San Francisco, CA 94121. The listed phone number is (415) 221-4810.

What is Poorni Otilingam's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Adult Development & Aging, with taxonomy code 103TA0700X.

Is Poorni Otilingam enrolled in Medicare?

No. Poorni Otilingam has opted out of Medicare through April 1, 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 Poorni Otilingam was last updated on December 7, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.