Individual provider Active NPI

Eleanor Rawlings Woodward

  • Psychiatry Physician
  • Corte Madera, CA
National Provider Identifier
1699137679
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
150551 Issued in CA
Practice address
300 Tamal PLZ Ste 180
Corte Madera, CA 94925-1131
Phone
(510) 843-2220
NPI assigned
Mar 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 150551 CA Primary

Addresses

Primary practice location

300 Tamal PLZ Ste 180
Corte Madera, CA 94925-1131

Mailing address

300 Tamal PLZ Ste 180
Corte Madera, CA 94925-1131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200129001144 CA Practitioner - Psychiatry 0446505846 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
JS Weill Medical College, Cornell University, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bay Psychiatric AssociatesGroup PAC ID 6204723331, 60 clinicians

Practice addresses (Care Compare)

2001 Dwight Way
RM 4190
Berkeley, CA 94704-2608
Phone (510) 204-4635

Hospital & facility affiliations

  • Alta Bates Summit Medical Center - Alta Bates Camp Hospital, Berkeley, CA, CCN 050305
  • Zuckerberg San Francisco General Hosp & Trauma Ctr Hospital, San Francisco, CA, CCN 050228

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
150551CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
City & County of San Francisco CurrentSince Dec 14, 2019 Accepting new patients
City & County of San Francisco Current Accepting new patients
City and County of San Francisco CurrentSince Dec 14, 2019 Accepting new patients
Bay Psychiatric Associates Psychiatry CurrentSince Aug 1, 2020 Accepting new patients

Locations

2020 Milvia St
Ste 440
Berkeley, CA 94704
Phone (510) 204-4635

2001 Dwight Way
Rm 4190
Berkeley, CA 94704
Phone (510) 204-4635

2001 Dwight Way
Ste 4190
Berkeley, CA 94704
Phone (510) 204-4635

1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1459123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1699137679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 TAMAL PLZ STE 180",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 TAMAL PLZ STE 180",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251131",
            "telephone_number": "510-843-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODWARD",
        "first_name": "ELEANOR",
        "middle_name": "RAWLINGS",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-28",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "150551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corte Madera, CA

Sources for this page

Verify at the official NPI Registry.