DR. GORDANA POTREBIC PSY.D.
NPI 1699960666
Psychologist in Corte Madera, CA

Active since September 12, 2007PECOS Enrolled
300 TAMAL PLZ STE 220, CORTE MADERA, CA 94925(707) 478-5689 Get Directions Write a Review

NPPES record last updated: April 24, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 24, 2026, Nov 16, 2025, Apr 10, 2024 (3 updates tracked since 2024).

About Dr. Gordana Potrebic Psy.d. NPPES

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

DR. GORDANA POTREBIC PSY.D. (NPI 1699960666) is an individual psychologist in Corte Madera, California, licensed in California (PSY27343) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Rohnert Park.

NPPES Registry Identity

NPI1699960666
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. GORDANA POTREBICCredential: PSY.D.
Location Address300 TAMAL PLZ STE 220Corte Madera, CA 94925-1136
Mailing Address1500 Valley House Dr Ste 210Rohnert Park, CA 94928-4938 · (707) 478-5689
Sole ProprietorYes
Enumeration DateSeptember 12, 2007
Last NPPES UpdateApril 24, 20263 updates tracked since enumeration
NPPES CertifiedApril 24, 2026
✔ NPI 1699960666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in CA · PSY27343
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
300 TAMAL PLZ STE 220, Corte Madera, CA 94925

Secondary Practice Location 1

Location 11500 Valley House Dr Ste 210Rohnert Park, CA 94928-4938 · Phone (707) 478-5689

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Gordana Potrebic Psy.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Gordana Potrebic reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
6 TARMAN DR
Cloverdale, CA 95425
  • Reassigned Medicare billing, California enrollment
  • 8 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 10

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

Social Worker (Clinical)
300 TAMAL PLZ STE 220
CORTE MADERA, CA 94925
Counselor (Mental Health)
300 TAMAL PLZ STE 220
CORTE MADERA, CA 94925
Dietitian, Registered
300 TAMAL PLZ STE 220
CORTE MADERA, CA 94925
Psychologist (Clinical)
300 TAMAL PLZ STE 220
CORTE MADERA, CA 94925
Counselor (Mental Health)
300 TAMAL PLZ STE 220
CORTE MADERA, CA 94925
Counselor (Mental Health)
300 TAMAL PLZ STE 220
CORTE MADERA, CA 94925
Marriage & Family Therapist
300 TAMAL PLZ STE 220
CORTE MADERA, CA 94925
Marriage & Family Therapist
300 TAMAL PLZ STE 220
CORTE MADERA, CA 94925

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 Gordana Potrebic's NPI number?

The NPI number for Gordana Potrebic is 1699960666. It was assigned to this individual provider in the NPPES registry on September 12, 2007.

Where is Gordana Potrebic located?

Gordana Potrebic practices at 300 Tamal Plz Ste 220, Corte Madera, CA 94925. The listed phone number is (707) 478-5689.

What is Gordana Potrebic's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Gordana Potrebic enrolled in Medicare?

Yes. Gordana Potrebic is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Gordana Potrebic's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gordana Potrebic reassigns Medicare benefits to Coppertower Family Medical Center (Cloverdale, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gordana Potrebic's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Gordana Potrebic was last updated on April 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.