Barbara Elizabeth Prosniewski, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY17496 Issued in CA

Practice address

920 Mendocino Ave Ste 4
Santa Rosa, CA 95401-4860

Phone

(707) 583-2363

NPI assigned

Aug 7, 2015

Last updated

Apr 1, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Redwood Psychology Center IncGroup PAC ID 2062880487, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Redwood Psychology Center, Inc

  dba Russian River Counselors

  • Group Psychotherapy Psychologist
  • Monte Rio, CA
  • NPI 1629196290
  Medicare reassignment Care Compare group NPD
• Redwood Psychology Center, Inc.

  • Group Psychotherapy Psychologist
  • Monte Rio, CA
  • NPI 1902243330
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1438905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1346626744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 MENDOCINO AVE STE 4",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954014860",
            "telephone_number": "707-583-2363",
            "fax_number": "707-595-5385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 MENDOCINO AVE STE 4",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954014860",
            "telephone_number": "707-583-2363"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19375 Hwy 116",
            "address_purpose": "LOCATION",
            "city": "Monte Rio",
            "state": "CA",
            "postal_code": "95462",
            "country_code": "US",
            "telephone_number": "707-865-1200",
            "fax_number": "707-865-5122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PROSNIEWSKI",
        "first_name": "BARBARA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-07",
        "last_updated": "2025-04-01",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY17496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Progress Foundation
• Progress Foundation (Progress Sonoma)
• Prohealth Home Care Inc
• Prohealth Home Care, Inc.
• Andrew M. Prokopis, PSY.D.
• Gail Prosser, RD, CDE
• Kenneth Frederick Prosser III, M.D.
• Providence in Home Health Care (Providential Fijian Home Care)
• Providence Medical Foundation
• Providence Medical Foundation

• Psychologist in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.