DR. DANIEL NOTZON M.D.
NPI 1992949457
Psychiatry & Neurology - Addiction Psychiatry in San Rafael, CA

Q: What is Daniel Notzon's NPI number?

The NPI number for Daniel Notzon is 1992949457. It was assigned to this individual provider in the NPPES registry on April 28, 2009.

Q: What is Daniel Notzon's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Addiction Psychiatry, with taxonomy code 2084P0802X.

Q: When was this NPI record last updated?

The NPPES record for Daniel Notzon was last updated on December 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 28, 2009PECOS Enrolled

111 SMITH RANCH RD, SAN RAFAEL, CA 94903(646) 783-2594 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 17, 2021, Aug 29, 2016, Jan 31, 2016 (3 updates tracked since 2016).

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About Dr. Daniel Notzon M.d. NPPES

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

DR. DANIEL NOTZON M.D. (NPI 1992949457) is an individual addiction psychiatry provider in San Rafael, California, licensed in California (A143089) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992949457

Entity TypeIndividualMale

Primary Taxonomy2084P0802X

Provider Legal NameDR. DANIEL NOTZONCredential: M.D.

Location Address111 SMITH RANCH RDSan Rafael, CA 94903-1939

Mailing Address111 Smith Ranch RdSan Rafael, CA 94903-1939 · (646) 783-2594

Phone(646) 783-2594

Sole ProprietorNo

Enumeration DateApril 28, 2009

Last NPPES UpdateDecember 17, 20213 updates tracked since enumeration

✔ NPI 1992949457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · Addiction PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0802X

License✔ Licensed in CA · A143089

Definition

Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders.

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 259028 (NY)

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

111 SMITH RANCH RD, San Rafael, CA 94903

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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 (PECOS)

Dr. Daniel Notzon M.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.

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.

STEPHANIE LOPEZ

Psychologist