DR. ANESSA YVONNA LARSON PSY.D.
NPI 1730288291
Psychologist in San Rafael, CA

Active since September 21, 2006PECOS EnrolledAccepts Medicare Assignment
3230 KERNER BLVD, SAN RAFAEL, CA 94901(415) 473-7846 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Anessa Yvonna Larson Psy.d. NPPES

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

DR. ANESSA YVONNA LARSON PSY.D. (NPI 1730288291) is an individual psychologist in San Rafael, California, licensed in California (20571) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1730288291
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. ANESSA YVONNA LARSONCredential: PSY.D.
Location Address3230 KERNER BLVDSan Rafael, CA 94901-4840
Mailing Address3230 Kerner BlvdSan Rafael, CA 94901-4840 · (415) 473-7846
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateSeptember 21, 2006
Last NPPES UpdateFebruary 11, 2022
NPI 1730288291 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 · 20571
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.
3230 KERNER BLVD, San Rafael, CA 94901

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Anessa Yvonna Larson Psy.d. 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.

PECOS PAC ID8123281581
PECOS Enrollment IDI20120522000989
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.

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.

Social Worker
3230 KERNER BLVD
SAN RAFAEL, CA 94901
Peer Specialist
3230 KERNER BLVD
SAN RAFAEL, CA 94901
Student in an Organized Health Care Education/Training Program
3230 KERNER BLVD
SAN RAFAEL, CA 94901
Marriage & Family Therapist
3230 KERNER BLVD
SAN RAFAEL, CA 94901
Counselor
3230 KERNER BLVD
SAN RAFAEL, CA 94901
Peer Specialist
3230 KERNER BLVD
SAN RAFAEL, CA 94901
Counselor (Professional)
3230 KERNER BLVD
SAN RAFAEL, CA 94901
Case Manager/Care Coordinator
3230 KERNER BLVD
SAN RAFAEL, CA 94901

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 Anessa Larson's NPI number?

The NPI number for Anessa Larson is 1730288291. It was assigned to this individual provider in the NPPES registry on September 21, 2006.

Where is Anessa Larson located?

Anessa Larson practices at 3230 Kerner Blvd, San Rafael, CA 94901. The listed phone number is (415) 473-7846.

What is Anessa Larson's specialty?

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

Is Anessa Larson enrolled in Medicare?

Yes. Anessa Larson 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.

When was this NPI record last updated?

The NPPES record for Anessa Larson was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.