Gordana Potrebic, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY27343 Issued in CA

Practice address

300 Tamal PLZ Ste 220
Corte Madera, CA 94925-1136

Phone

(707) 478-5689

NPI assigned

Sep 12, 2007

Last updated

Apr 24, 2026By 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

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Coppertower Family Medical Center

  dba Alexander Valley Healthcare

  • Federally Qualified Health Center (FQHC)
  • Cloverdale, CA
  • NPI 1033534466
  Medicare reassignment

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1699960666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 VALLEY HOUSE DR STE 210",
            "city": "ROHNERT PARK",
            "state": "CA",
            "postal_code": "949284938",
            "telephone_number": "707-478-5689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 TAMAL PLZ STE 220",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251136",
            "telephone_number": "707-478-5689"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Valley House Dr Ste 210",
            "address_purpose": "LOCATION",
            "city": "Rohnert Park",
            "state": "CA",
            "postal_code": "949284938",
            "country_code": "US",
            "telephone_number": "707-478-5689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POTREBIC",
        "first_name": "GORDANA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-12",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY27343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Phelps, MA
• Physiotherapy Associates, Inc. (Select Physical Therapy)
• Jonathan Pofsky, MFT
• Erica Anne Posner, MFT
• Post Street Occupational Medicine PC
• Michael Eric Prentice, CCC-SLP
• Deon Pretorius, RPH
• Kelly D Prothero, LCSW
• Psychserv Medical Corporation
• Jedidiah Purses, AMFT

• Psychologist in Corte Madera, CA
• Providers in Corte Madera, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.