DR. MARK HENRY PARADIS PHD
NPI 1689895641
Psychologist - Clinical in Santa Rosa, CA

Q: What is Mark Paradis's NPI number?

The NPI number for Mark Paradis is 1689895641. It was assigned to this individual provider in the NPPES registry on May 1, 2007.

Q: What is Mark Paradis's specialty?

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

Q: Is Mark Paradis enrolled in Medicare?

No. Mark Paradis has opted out of Medicare through January 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.

Q: When was this NPI record last updated?

The NPPES record for Mark Paradis 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.

Active since May 01, 2007Opted out of Medicare · through Jan 1, 2028

614 WRIGHT ST, SANTA ROSA, CA 95404(707) 526-1945(707) 546-5026 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Mark Henry Paradis Phd NPPES

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

DR. MARK HENRY PARADIS PHD (NPI 1689895641) is an individual clinical provider in Santa Rosa, California, licensed in California (PSY4035) and active in the NPI registry since May 2007. He has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1689895641

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. MARK HENRY PARADISCredential: PHD

Location Address614 WRIGHT STSanta Rosa, CA 95404

Mailing AddressPo Box 1722Santa Rosa, CA 95402 · (707) 526-1945 · Fax (707) 546-5026

Phone(707) 526-1945

Fax(707) 546-5026

Sole ProprietorNo

Enumeration DateMay 1, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1689895641 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 · PSY4035

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.

614 WRIGHT ST, Santa Rosa, CA 95404

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Other Identifiers 1

Medicare ID-Type Unspecified00PL40350CA

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. Mark Henry Paradis Phd 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, 2022 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2022

Opt-Out In Effect ThroughJanuary 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95404 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

$187.01 typical visit price

range $63.04 – $187.01

Typical copayment $46.75 (range $15.76 – $46.75)

Most-billed visit code 99205

Established Patient

$109.88 typical visit price

range $21.02 – $153.40

Typical copayment $27.47 (range $5.25 – $38.35)

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.

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 Mark Paradis's NPI number?

The NPI number for Mark Paradis is 1689895641. It was assigned to this individual provider in the NPPES registry on May 1, 2007.

Where is Mark Paradis located?

Mark Paradis practices at 614 Wright St, Santa Rosa, CA 95404. The listed phone number is (707) 526-1945.

What is Mark Paradis's specialty?

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

Is Mark Paradis enrolled in Medicare?

No. Mark Paradis has opted out of Medicare through January 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 Mark Paradis 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.