Stephanie Athena Claudatos, PHD, DBSM

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY34523 Issued in CA

Practice address

1538 Beau Rivage
San Pablo, CA 94806-4115

Phone

(650) 485-1406

NPI assigned

May 15, 2019

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

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 and National Provider Directory roles.

• Goodwill Industries of Santa Clara County

  • Community/Behavioral Health Agency
  • San Jose, CA
  • NPI 1750751780
  NPD (past)
• University of California San Francisco Medical Center

  • General Acute Care Hospital
  • San Francisco, CA
  • NPI 1144325440
  NPD (past)

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

{
    "created_epoch": "1557878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778198400000",
    "number": "1417513482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 2201 SHORE LINE DR",
            "address_2": "#1506",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "94501",
            "telephone_number": "408-515-3925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1538 BEAU RIVAGE",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "948064115",
            "telephone_number": "650-485-1406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAUDATOS",
        "first_name": "STEPHANIE",
        "middle_name": "ATHENA",
        "credential": "PHD, DBSM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-15",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY34523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stefan Christenberry
• Paul E. Cianci, M.D.
• Ciaran Jacka DPM Inc
• Joscelyne Ciarroni, FNP-C
• Robert G. Clark, M.D.
• Shirley Catherine Claudio
• Kimberly Alison Coady Heikkila, LCSW
• Janelle C Cobbs
• Lorna A Cogen, M.D.
• Rachelle Cohen

• Clinical Psychologist in San Pablo, CA
• Providers in San Pablo, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.