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DR. MICHELLE MARIE BANDUCCI M.D.
NPI 1912086828
Psychiatry & Neurology - Child & Adolescent Psychiatry in San Ramon, CA

Active since November 02, 2006Opted out of Medicare · through Jun 21, 2028
3 CROW CANYON COURT, SUITE #150, SAN RAMON, CA 94583(925) 362-3861(925) 362-3904 Get Directions Write a Review

NPPES record last updated: October 16, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Michelle Marie Banducci M.d. NPPES

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

DR. MICHELLE MARIE BANDUCCI M.D. (NPI 1912086828) is an individual child & adolescent psychiatry provider in San Ramon, California, licensed in California (A76008) and active in the NPI registry since November 2006. She has opted out of Medicare through June 21, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1912086828
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameDR. MICHELLE MARIE BANDUCCICredential: M.D.
Location Address3 CROW CANYON COURT, SUITE #150San Ramon, CA 94583
Mailing Address1 Annabel Ln Ste 214San Ramon, CA 94583-4360 · (925) 264-4069 · Fax (925) 277-1116
Phone(925) 362-3861
Fax(925) 362-3904
Sole ProprietorYes
Enumeration DateNovember 2, 2006
Last NPPES UpdateOctober 16, 2014
✔ NPI 1912086828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in CA · A76008
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
3 CROW CANYON COURT, San Ramon, CA 94583
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Dr. Michelle Marie Banducci M.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 June 21, 2016 through June 21, 2028.

Opt-Out Effective DateJune 21, 2016
Opt-Out In Effect ThroughJune 21, 2028Opt-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.

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 Michelle Banducci's NPI number?

The NPI number for Michelle Banducci is 1912086828. It was assigned to this individual provider in the NPPES registry on November 2, 2006.

Where is Michelle Banducci located?

Michelle Banducci practices at 3 Crow Canyon Court Suite #150, San Ramon, CA 94583. The listed phone number is (925) 362-3861.

What is Michelle Banducci's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Michelle Banducci enrolled in Medicare?

No. Michelle Banducci has opted out of Medicare through June 21, 2028. 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 Michelle Banducci was last updated on October 16, 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.