1. Home
  2. Directory
  3. California
  4. Lodi
  5. Psychologist
  6. NPI Profile

LAURA PLUCKHAN PSY.D.
NPI 1821601071
Psychologist - Clinical in Lodi, CA

Active since August 27, 2020PECOS Enrolled
2415 W KETTLEMAN LN # 1020, LODI, CA 95242(916) 668-0379 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 9, 2026, Oct 3, 2024, Aug 27, 2020 (3 updates tracked since 2020).

About Laura Pluckhan Psy.d. NPPES

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

LAURA PLUCKHAN PSY.D. (NPI 1821601071) is an individual clinical provider in Lodi, California, licensed in California (PSY35460) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821601071
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameLAURA PLUCKHANCredential: PSY.D.
Location Address2415 W KETTLEMAN LN # 1020Lodi, CA 95242-4121
Mailing Address2415 W Kettleman Ln # 1020Lodi, CA 95242-4121 · (916) 668-0379
Phone(916) 668-0379
Sole ProprietorYes
Enumeration DateAugust 27, 2020
Last NPPES UpdateJuly 9, 20263 updates tracked since enumeration
NPPES CertifiedJuly 9, 2026
✔ NPI 1821601071 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 · PSY35460
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.
2415 W KETTLEMAN LN # 1020, Lodi, CA 95242
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Laura Pluckhan 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 Laura Pluckhan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
6.9 mi
Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1548343510 (209) 476-2000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95242 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
$176.60 typical visit price
range $58.87 – $176.60
Typical copayment $44.15 (range $14.71 – $44.15)
Most-billed visit code 99205
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

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 Laura Pluckhan's NPI number?

The NPI number for Laura Pluckhan is 1821601071. It was assigned to this individual provider in the NPPES registry on August 27, 2020.

Where is Laura Pluckhan located?

Laura Pluckhan practices at 2415 W Kettleman Ln # 1020, Lodi, CA 95242. The listed phone number is (916) 668-0379.

What is Laura Pluckhan's specialty?

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

Is Laura Pluckhan enrolled in Medicare?

Yes. Laura Pluckhan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Laura Pluckhan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Laura Pluckhan reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, 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 Laura Pluckhan'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 Laura Pluckhan was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.