MS. ELIZABETH ZDRADZINSKI PSY.D.
NPI 1760737241
Psychologist in Stockton, CA

Active since July 19, 2012PECOS Enrolled
1976 W ROSE STREET, STOCKTON, CA 95203(209) 425-1645 Get Directions Write a Review

NPPES record last updated: April 2, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ms. Elizabeth Zdradzinski Psy.d. NPPES

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

MS. ELIZABETH ZDRADZINSKI PSY.D. (NPI 1760737241) is an individual psychologist in Stockton, California, licensed in California (PSY25566) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760737241
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameMS. ELIZABETH ZDRADZINSKICredential: PSY.D.
Location Address1976 W ROSE STREETStockton, CA 95203
Mailing Address1976 W Rose StreetStockton, CA 95203 · (209) 425-1645
Sole ProprietorYes
Enumeration DateJuly 19, 2012
Last NPPES UpdateApril 2, 2021
NPPES CertifiedApril 2, 2021
✔ NPI 1760737241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Licenses✔ Licensed in CA · PSY25566✔ Licensed in FL · PY8520
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.
1976 W ROSE STREET, Stockton, CA 95203

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Elizabeth Zdradzinski Psy.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Elizabeth Zdradzinski reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Multi-Specialty
1317 OAKDALE RD STE 440
Modesto, CA 95355
  • Reassigned Medicare billing, California enrollment
  • 25 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Elizabeth Zdradzinski's NPI number?

The NPI number for Elizabeth Zdradzinski is 1760737241. It was assigned to this individual provider in the NPPES registry on July 19, 2012.

Where is Elizabeth Zdradzinski located?

Elizabeth Zdradzinski practices at 1976 W Rose Street, Stockton, CA 95203. The listed phone number is (209) 425-1645.

What is Elizabeth Zdradzinski's specialty?

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

Is Elizabeth Zdradzinski enrolled in Medicare?

Yes. Elizabeth Zdradzinski is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Elizabeth Zdradzinski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Zdradzinski reassigns Medicare benefits to Family First Medical Care A Professional Corporation (Modesto, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Elizabeth Zdradzinski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Elizabeth Zdradzinski was last updated on April 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.