Adrienne Elizabeth Amundsen, PH.D.
NPI 1104024090ActiveIndividual· Psychologist· San Francisco, CA
Psychologist (PH.D.) in San Francisco, California, licensed in CA, with an NPI issued in July 2007. Medicare paid $52,303 for services to 12 patients in 2024.
Overview
| NPI | 1104024090 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D. |
| Sole proprietor | Yes |
| NPI issued | Jul 3, 2007 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | PSY7865 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 12 |
|---|---|
| Services billed | 428 across 1 procedure code |
| Paid by Medicare | $52,303 |
Education and affiliations
| Graduation year | 1980 |
|---|---|
| Medicare specialty | Clinical Psychologist |
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