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Active NPI 1528129814 Individual Practitioner Female Practitioner

Dr. Mary L. Eickmeyer , PsyD

Psychologist - Clinical • Cotati, CA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Mary Eickmeyer, PsyD is a certified Psychologist - Clinical practicing in Cotati, CA. With approximately 19 years of clinical experience since completing medical education in 2007, Dr. Eickmeyer delivers high-quality medical care to the local community at 8609 LASKER LN.

Dr. Eickmeyer accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include psychotherapy, psychiatric diagnostic evaluation. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

8609 Lasker Ln

Cotati, CA 949315342

Telephone 7072061039
Fax 7075406276

Medicare Profile & Education

Medical School

Other

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Clinical in Cotati, CA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
19 Yrs Matches City Avg
City Avg: 19.0 Yrs
State Avg: 23.9 Yrs
Regional Practice Density
2 Specialists

Practicing in Cotati, CA (13237 Statewide)

Telehealth Adoption Rate
50.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
2.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Eickmeyer (19 Years) 19 Yrs
Cotati Specialty Average (19.0 Years) 19.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90837 Psychotherapy, 60 minutes
185 17 $163.05 $159.17

Medical Specialties & State Licenses

CMS Verified: 2020-10-26
Psychologist - Clinical Primary Specialty

NUCC Taxonomy Code: 103TC0700X

State License CA PSY23192

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location October 26, 2020

Registered at 8609 LASKER LN, COTATI, CA 949315342 (Tel: 7072061039)

📍
Updated Business Mailing Address October 26, 2020

Registered at 8609 LASKER LN, COTATI, CA 949315342 (Tel: 7072061039)

NPI Profile Active April 12, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location April 12, 2011

Registered at 659 CHERRY ST, SUITE 102, SANTA ROSA, CA 954044202 (Tel: 7072061039)

📍
Updated Business Mailing Address April 12, 2011

Registered at 659 CHERRY ST, SUITE 102, SANTA ROSA, CA 954044202 (Tel: 7072061039)

👤
Provider Name / Credentials Updated April 12, 2011

Recorded as MARY EICKMEYER, PSY.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 12, 2011

Psychologist (License #PSY23192 in CA)

🟢
Initial NPI Registration & Enumeration December 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1528129814
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 12, 2006
Last Update: October 26, 2020
Sole Proprietor: Yes

Mailing Address

8609 Lasker Ln

Cotati, CA 949315342

Phone: 7072061039

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.