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DR. ROBERTA TERRY SEIFERT, PH.D. PH.D.
NPI 1760425359
Psychologist - Clinical in San Rafael, CA

Active since June 13, 2006Opted out of Medicare · through Apr 1, 2027
817 D ST, SAN RAFAEL, CA 94901(415) 456-1777(415) 451-7902 Get Directions Write a Review

NPPES record last updated: October 15, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Roberta Terry Seifert, Ph.d. Ph.d. NPPES

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

DR. ROBERTA TERRY SEIFERT, PH.D. PH.D. (NPI 1760425359) is an individual clinical provider in San Rafael, California, licensed in California (PSY5133) and active in the NPI registry since June 2006. She has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1760425359
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. ROBERTA TERRY SEIFERT, PH.D.Credential: PH.D.
Location Address817 D STSan Rafael, CA 94901-2813
Mailing Address817 D StSan Rafael, CA 94901-2813 · (415) 456-1777 · Fax (415) 451-7902
Phone(415) 456-1777
Fax(415) 451-7902
Sole ProprietorYes
Enumeration DateJune 13, 2006
Last NPPES UpdateOctober 15, 2011
✔ NPI 1760425359 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 · PSY5133
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.
817 D ST, San Rafael, CA 94901
Open in Google Maps ↗

Other Names 1

Former Name (1)Mrs. Roberta Seifert Yablon

Other Identifiers 1

Medicare ID-Type Unspecified00PL51330

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Roberta Terry Seifert, Ph.d. Ph.d. 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 April 1, 2015 through April 1, 2027.

Opt-Out Effective DateApril 1, 2015
Opt-Out In Effect ThroughApril 1, 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 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
$119.61 typical visit price
range $23.44 – $166.64
Typical copayment $29.90 (range $5.86 – $41.66)
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 2

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

ROBERTA SEIFERT PHD A PSYCHOLOGICAL CORPORATION
Clinic/Center (Mental Health (Including Community Mental Health Center))
817 D ST
SAN RAFAEL, CA 94901
Marin County (415) 456-1777
MS. BETSY GRAZIANI FASBINDER CALIFORNIA MFT
Marriage & Family Therapist
817 D ST
SAN RAFAEL, CA 94901
Marin County (530) 613-9947

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 Roberta Seifert, Ph.d.'s NPI number?

The NPI number for Roberta Seifert, Ph.d. is 1760425359. It was assigned to this individual provider in the NPPES registry on June 13, 2006. The provider is also known as Mrs. Roberta Seifert Yablon.

Where is Roberta Seifert, Ph.d. located?

Roberta Seifert, Ph.d. practices at 817 D St, San Rafael, CA 94901. The listed phone number is (415) 456-1777.

What is Roberta Seifert, Ph.d.'s specialty?

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

Is Roberta Seifert, Ph.d. enrolled in Medicare?

No. Roberta Seifert, Ph.d. has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Roberta Seifert, Ph.d. was last updated on October 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.