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DR. XIAOLONG LI PSYD
NPI 1730640194
Psychologist - Clinical in Elk Grove, CA

Active since March 28, 2019PECOS EnrolledAccepts Medicare Assignment
9324 W STOCKTON BLVD, ELK GROVE, CA 95758(916) 525-6100 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Xiaolong Li Psyd NPPES

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

DR. XIAOLONG LI PSYD (NPI 1730640194) is an individual clinical provider in Elk Grove, California, licensed in California (PSY30396) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1730640194
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. XIAOLONG LICredential: PSYD
Location Address9324 W STOCKTON BLVDElk Grove, CA 95758-8012
Mailing Address9324 W Stockton BlvdElk Grove, CA 95758-8012
Phone(916) 525-6100
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 28, 2019
Last NPPES UpdateJanuary 3, 2022
✔ NPI 1730640194 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 · PSY30396
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.
9324 W STOCKTON BLVD, Elk Grove, CA 95758
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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 and accepts Medicare assignment

Dr. Xiaolong Li Psyd 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 ID5193131712
PECOS Enrollment IDI20210305001917
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 95758 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
$180.85 typical visit price
range $60.44 – $180.85
Typical copayment $45.21 (range $15.11 – $45.21)
Most-billed visit code 99205
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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.

STEPHANIE KAWAS BARRY
Counselor
9324 W STOCKTON BLVD
ELK GROVE, CA 95758
Sacramento County (916) 525-6154
JIAXIN CHEN APCC
Counselor
9324 W STOCKTON BLVD
ELK GROVE, CA 95758
Sacramento County (916) 525-6100
DR. KENNETH EMERSON ROGERS PSY.D.
Psychologist (Clinical)
9324 W STOCKTON BLVD
ELK GROVE, CA 95758
Sacramento County (916) 478-7716
DR. TAMARA MCGILLICUDDY PSYD
Psychologist (Clinical)
9324 W STOCKTON BLVD
ELK GROVE, CA 95758
Sacramento County (916) 525-6100
EMILY MARCH
Counselor (Mental Health)
9324 W STOCKTON BLVD
ELK GROVE, CA 95758
Sacramento County (916) 525-6100
MS. SARAH ROBERTSON LCSW
Social Worker (Clinical)
9324 W STOCKTON BLVD
ELK GROVE, CA 95758
Sacramento County (916) 478-7631
DANNETTE MCCALMAN
Counselor
9324 W STOCKTON BLVD
ELK GROVE, CA 95758
Sacramento County (916) 525-6100
LYNN HAWLEY LCSW
Counselor
9324 W STOCKTON BLVD
ELK GROVE, CA 95758
Sacramento County (916) 478-7728

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 Xiaolong Li's NPI number?

The NPI number for Xiaolong Li is 1730640194. It was assigned to this individual provider in the NPPES registry on March 28, 2019.

Where is Xiaolong Li located?

Xiaolong Li practices at 9324 W Stockton Blvd, Elk Grove, CA 95758. The listed phone number is (916) 525-6100.

What is Xiaolong Li's specialty?

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

Is Xiaolong Li enrolled in Medicare?

Yes. Xiaolong Li 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 Xiaolong Li was last updated on January 3, 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.