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ANNIE DUTKA PSYD
NPI 1720450364
Psychologist - Clinical in Albany, CA

Active since October 22, 2015Opted out of Medicare · through Mar 4, 2027
902 CURTIS ST, ALBANY, CA 94706(510) 929-2230 Get Directions Write a Review

NPPES record last updated: September 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Annie Dutka Psyd NPPES

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

ANNIE DUTKA PSYD (NPI 1720450364) is an individual clinical provider in Albany, California, licensed in California (PSY34294) and active in the NPI registry since October 2015. She has opted out of Medicare through March 4, 2027.

NPPES Registry Identity

NPI1720450364
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameANNIE DUTKACredential: PSYD
Location Address902 CURTIS STAlbany, CA 94706-2108
Mailing Address902 Curtis StAlbany, CA 94706-2108 · (510) 929-2230
Phone(510) 929-2230
Sole ProprietorYes
Enumeration DateOctober 22, 2015
Last NPPES UpdateSeptember 7, 2023
NPPES CertifiedFebruary 3, 2023
✔ NPI 1720450364 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 · PSY34294
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.
902 CURTIS ST, Albany, CA 94706
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Annie Dutka Psyd 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 March 4, 2025 through March 4, 2027.

Opt-Out Effective DateMarch 4, 2025
Opt-Out In Effect ThroughMarch 4, 2027Opt-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 94706 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
$202.35 typical visit price
range $69.00 – $202.35
Typical copayment $50.58 (range $17.25 – $50.58)
Most-billed visit code 99205
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

Other Providers at the Same Location NPPES 12

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

ESTELLE A FRANKEL MS MFT
Marriage & Family Therapist
902 CURTIS ST
ALBANY, CA 94706
Alameda County (510) 859-7471
KEITH MITCHELL WEINSTEIN MFT
Marriage & Family Therapist
902 CURTIS ST
ALBANY, CA 94706
Alameda County (510) 222-3576
DR. KAYOKO YOKOYAMA PH.D.
Psychologist (Counseling)
902 CURTIS ST
ALBANY, CA 94706
Alameda County (510) 516-0527
DR. CARRIE D. THALER PH.D.
Psychologist (Clinical)
902 CURTIS ST
ALBANY, CA 94706
Alameda County (510) 466-5691
LORAINE Y VAN TUYL PHD
Psychologist
902 CURTIS ST
ALBANY, CA 94706
Alameda County (925) 642-1716
MEAGAN ROSSIN
Marriage & Family Therapist
902 CURTIS ST
ALBANY, CA 94706
Alameda County (415) 484-8355
MS. CAROL LYNNE LAW MFT
Marriage & Family Therapist
902 CURTIS ST
ALBANY, CA 94706
Alameda County (510) 559-8895
DR. ANDREA LAPPEN PHD
Psychologist (Clinical)
902 CURTIS ST
ALBANY, CA 94706
Alameda County (510) 528-2131

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 Annie Dutka's NPI number?

The NPI number for Annie Dutka is 1720450364. It was assigned to this individual provider in the NPPES registry on October 22, 2015.

Where is Annie Dutka located?

Annie Dutka practices at 902 Curtis St, Albany, CA 94706. The listed phone number is (510) 929-2230.

What is Annie Dutka's specialty?

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

Is Annie Dutka enrolled in Medicare?

No. Annie Dutka has opted out of Medicare through March 4, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Annie Dutka was last updated on September 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.