MR. BERT WAYNE SHECKLER-SMITH MFT
NPI 1700058708
Marriage & Family Therapist in Petaluma, CA
About Mr. Bert Wayne Sheckler-smith Mft NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. BERT WAYNE SHECKLER-SMITH MFT (NPI 1700058708) is an individual marriage & family therapist in Petaluma, California, licensed in California (MFC 28723) and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS and is a graduate of Other (1986).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Bert Wayne Sheckler-smith Mft is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Bert Sheckler-smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Santa Rosa, CA 95401
- Reassigned Medicare billing, California enrollment
- 33 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.
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 Bert Sheckler-smith's NPI number?
The NPI number for Bert Sheckler-smith is 1700058708. It was assigned to this individual provider in the NPPES registry on March 31, 2008. The provider is also known as Mr. Bert Wayne Sheckler Mft.
Where is Bert Sheckler-smith located?
Bert Sheckler-smith practices at 47 6th St Ste 205, Petaluma, CA 94952. The listed phone number is (707) 363-7281.
What is Bert Sheckler-smith's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Bert Sheckler-smith enrolled in Medicare?
Yes. Bert Sheckler-smith is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Bert Sheckler-smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bert Sheckler-smith reassigns Medicare benefits to Psych Strategies Inc A Psychological Corp (Santa Rosa, 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 Bert Sheckler-smith'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 Bert Sheckler-smith was last updated on March 31, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Mr. Bert Wayne Sheckler-Smith, MFT · NPI 1700058708
Marriage & Family Therapist provider in Petaluma, California. Individual provider, active in the CMS NPPES registry since March 31, 2008.
## Identity
- **NPI:** 1700058708 (Entity type: Individual)
- **Enumerated:** March 31, 2008
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** MFC 28723 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 47 6TH ST STE 205, Petaluma, CA 94952-3092
- **Phone:** (707) 363-7281
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Psych Strategies Inc A Psychological Corp (NPI 1699775411, Santa Rosa, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1986
## Record status
- **NPPES last updated:** March 31, 2008
---
Source: [NPI Profile](https://npiprofile.com/npi/1700058708) · Data from the CMS NPPES public registry.