Pamela Ann Paradowski, PH.D

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY15053 Issued in CA

Practice address

1700 Norbridge Ave
Castro Valley, CA 94546-5700

Phone

(510) 433-9955

Fax

(877) 350-3107

NPI assigned

Aug 1, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA, IA2 enrollments

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 2

Specialty

Clinical Psychologist

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1841207289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 NORBRIDGE AVE",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945465700",
            "telephone_number": "510-433-9995",
            "fax_number": "877-350-3107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 NORBRIDGE AVE",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945465700",
            "telephone_number": "510-433-9955",
            "fax_number": "877-350-3107"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "121 W Broadway Ave",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "IA",
            "postal_code": "525563265",
            "country_code": "US",
            "telephone_number": "510-847-1374",
            "fax_number": "510-580-7080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARADOWSKI",
        "first_name": "PAMELA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY15053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PSY150530",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monica Prisila Palos
• Olivia Pan, M.D.
• Tianli Pan, MD
• Ravi S Panjabi, MD
• Victoria S Pao, M.D.
• Baran Parlak
• Anjali Mehul Patel
• Mahendra Chhitubhai Patel, MD
• Rina Patel, PHARMD
• Susan Kay Pease, LMFT

• Psychologist in Castro Valley, CA
• Providers in Castro Valley, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; 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.