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SOPHIA V TEDESCHI M.D.
NPI 1710207691
Psychiatry & Neurology - Psychiatry in San Rafael, CA

Active since June 02, 2010PECOS Enrolled
1601 2ND ST, SAN RAFAEL, CA 94901(415) 456-6655 Get Directions Write a Review

NPPES record last updated: September 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sophia V Tedeschi M.d. NPPES

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

SOPHIA V TEDESCHI M.D. (NPI 1710207691) is an individual psychiatry provider in San Rafael, California, licensed in California (A118333) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710207691
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameSOPHIA V TEDESCHICredential: M.D.
Location Address1601 2ND STSan Rafael, CA 94901-2712
Mailing Address4860 Y St Ste 1600Sacramento, CA 95817-2307
Phone(415) 456-6655
Sole ProprietorNo
Enumeration DateJune 2, 2010
Last NPPES UpdateSeptember 23, 2024
NPPES CertifiedSeptember 23, 2024
✔ NPI 1710207691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in CA · A118333
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1601 2ND ST, San Rafael, CA 94901
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sophia V Tedeschi M.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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94901 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
$202.63 typical visit price
range $69.07 – $202.63
Typical copayment $50.65 (range $17.26 – $50.65)
Most-billed visit code 99205
Established Patient
$85.00 typical visit price
range $23.44 – $166.64
Typical copayment $21.25 (range $5.86 – $41.66)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

SAMANTHA MAXWELL BA
Counselor (Addiction (Substance Use Disorder))
1601 2ND ST
SAN RAFAEL, CA 94901
Marin County (415) 456-6655
ANDREW YU-SHIN SHU
Social Worker
1601 2ND ST
SAN RAFAEL, CA 94901
Marin County (415) 456-6655
BECKY DAVIS
Counselor (Addiction (Substance Use Disorder))
1601 2ND ST
SAN RAFAEL, CA 94901
Marin County (408) 606-0681
ENNIS SCOTT SAMUEL JOHNSON
Counselor (Addiction (Substance Use Disorder))
1601 2ND ST
SAN RAFAEL, CA 94901
Marin County (415) 526-7810
RAMIN BEHRAVAN
Counselor (Addiction (Substance Use Disorder))
1601 2ND ST, #104
SAN RAFAEL, CA 94901
Marin County (415) 446-1923
MRS. MICHELLE ANNE PURDY CADAC
Counselor (Addiction (Substance Use Disorder))
1601 2ND ST
SAN RAFAEL, CA 94901
Marin County (415) 456-6655
CENTER POINT, INC.
Clinic/Center (Community Health)
1601 2ND ST
SAN RAFAEL, CA 94901
Marin County (415) 456-6655
NATHAN JOSEPH FLEMING LVN
Licensed Vocational Nurse
1601 2ND ST
SAN RAFAEL, CA 94901
Marin County (415) 492-4444

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 Sophia Tedeschi's NPI number?

The NPI number for Sophia Tedeschi is 1710207691. It was assigned to this individual provider in the NPPES registry on June 2, 2010.

Where is Sophia Tedeschi located?

Sophia Tedeschi practices at 1601 2nd St, San Rafael, CA 94901. The listed phone number is (415) 456-6655.

What is Sophia Tedeschi's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Sophia Tedeschi enrolled in Medicare?

Yes. Sophia Tedeschi is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sophia Tedeschi was last updated on September 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.