AMANDA MATILDA REGODON WALLIN MD, MPH
NPI 1982231205
Psychiatry & Neurology - Psychiatry in San Mateo, CA

Q: What is Amanda Matilda Regodon Wallin's NPI number?

The NPI number for Amanda Matilda Regodon Wallin is 1982231205. It was assigned to this individual provider in the NPPES registry on March 25, 2020.

Q: What is Amanda Matilda Regodon Wallin's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Active since March 25, 2020PECOS EnrolledAccepts Medicare Assignment

1950 ALAMEDA DE LAS PULGAS, SAN MATEO, CA 94403(650) 573-3571(650) 572-9347 Get Directions Write a Review

NPPES record last updated: December 4, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Dec 4, 2024, Jul 19, 2023, Mar 25, 2020 (3 updates tracked since 2020).

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About Amanda Matilda Regodon Wallin Md, Mph NPPES

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

AMANDA MATILDA REGODON WALLIN MD, MPH (NPI 1982231205) is an individual psychiatry provider in San Mateo, California, licensed in California (A190935) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1982231205

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameAMANDA MATILDA REGODON WALLINCredential: MD, MPH

Location Address1950 ALAMEDA DE LAS PULGASSan Mateo, CA 94403-1222

Mailing Address1950 Alameda De Las PulgasSan Mateo, CA 94403-1222 · (650) 573-3571 · Fax (650) 572-9347

Phone(650) 573-3571

Fax(650) 572-9347

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateMarch 25, 2020

Last NPPES UpdateDecember 4, 20243 updates tracked since enumeration

NPPES CertifiedDecember 4, 2024

✔ NPI 1982231205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Licenses✔ Licensed in CA · A190935✔ Licensed in CA · PTL4010

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1950 ALAMEDA DE LAS PULGAS, San Mateo, CA 94403

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amanda Matilda Regodon Wallin Md, Mph is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8325442726

PECOS Enrollment IDI20241209001397

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 94403 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

$202.35 typical visit price

range $69.00 – $202.35

Typical copayment $50.58 (range $17.25 – $50.58)

Most-billed visit code 99205

Established Patient

$84.91 typical visit price

range $23.44 – $166.46

Typical copayment $21.22 (range $5.86 – $41.61)

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.

Other Providers at the Same Location NPPES 20

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

MICHELLE J PATTERSON MPH, CHES

Health Educator