DR. ELYSE C DUBIN MD
NPI 1962430850
Psychiatry & Neurology - Psychiatry in Santa Rosa, CA

Active since June 29, 2006PECOS Enrolled
2222 SYCAMORE AVE, SANTA ROSA, CA 95404(212) 925-8243(917) 997-9335 Get Directions Write a Review

NPPES record last updated: December 4, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 4, 2025, May 15, 2025 (2 updates tracked since 2025).

About Dr. Elyse C Dubin Md NPPES

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

DR. ELYSE C DUBIN MD (NPI 1962430850) is an individual psychiatry provider in Santa Rosa, California, licensed in New York (140357) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of Jefferson Medical College Of Thomas Jefferson University (1977).

NPPES Registry Identity

NPI1962430850
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDR. ELYSE C DUBINCredential: MD
Location Address2222 SYCAMORE AVESanta Rosa, CA 95404-2236
Mailing Address2222 Sycamore AveSanta Rosa, CA 95404-2236 · (212) 925-8243 · Fax (917) 997-9335
Fax(917) 997-9335
Sole ProprietorYes
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1977
Enumeration DateJune 29, 2006
Last NPPES UpdateDecember 4, 20252 updates tracked since enumeration
NPPES CertifiedDecember 4, 2025
NPI 1962430850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in NY · 140357
Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

2222 SYCAMORE AVE, Santa Rosa, CA 95404

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Elyse C Dubin Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3779848502
PECOS Enrollment IDI20200602002838
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95404 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
$187.01 typical visit price
range $63.04 – $187.01
Typical copayment $46.75 (range $15.76 – $46.75)
Most-billed visit code 99205
Established Patient
$77.94 typical visit price
range $21.02 – $153.40
Typical copayment $19.48 (range $5.25 – $38.35)
Most-billed visit code 99213
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

The NPI number assigned to this healthcare provider is 1962430850, enumerated as an "individual" on June 29, 2006.

The provider is located at 2222 SYCAMORE AVE SANTA ROSA, CA 95404 and the phone number is (212) 925-8243.

Psychiatry & Neurology with taxonomy code 2084P0800X and a focus in Psychiatry.