JEREMY MADOFF PH.D.
NPI 1740204569
Psychologist - Clinical in San Diego, CA
About Jeremy Madoff Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEREMY MADOFF PH.D. (NPI 1740204569) is an individual clinical provider in San Diego, California, licensed in California (PSY 7502) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1980).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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
Jeremy Madoff Ph.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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92123 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SAN DIEGO, CA 92123
SAN DIEGO, CA 92123
SAN DIEGO, CA 92123
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 Jeremy Madoff's NPI number?
The NPI number for Jeremy Madoff is 1740204569. It was assigned to this individual provider in the NPPES registry on July 26, 2006.
Where is Jeremy Madoff located?
Jeremy Madoff practices at 3914 Murphy Canyon Rd Suite A241, San Diego, CA 92123. The listed phone number is (858) 569-0454.
What is Jeremy Madoff's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Jeremy Madoff enrolled in Medicare?
Yes. Jeremy Madoff 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 Jeremy Madoff was last updated on December 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Jeremy Madoff, PH.D. · NPI 1740204569
Clinical provider in San Diego, California. Individual provider, active in the CMS NPPES registry since July 26, 2006.
## Identity
- **NPI:** 1740204569 (Entity type: Individual)
- **Enumerated:** July 26, 2006
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** PSY 7502 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3914 MURPHY CANYON RD, SUITE A241, San Diego, CA 92123-4491
- **Phone:** (858) 569-0454
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 1980
## Record status
- **NPPES last updated:** December 11, 2014
- **Other identifiers:** Medicare UPIN R90719; Medicare ID-Type Unspecified CP7502 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1740204569) · Data from the CMS NPPES public registry.