Dr. Phyllis Irene Cedars, M.D.
Psychiatry & Neurology, Psychiatry in Berkeley, CA. Individual provider (NPI-1).
NPI number1578720751
StatusActive
Last updated in NPPESMay 16, 2008
Details
- NPI
- 1578720751
- Entity type
- Individual (NPI-1)
- Name
- Dr. Phyllis Irene Cedars
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 16, 2008
- Last updated
- May 16, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- Medicare opt-out
- Jun 24, 2016 to Jun 24, 2028
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | G45712 | CA | Yes |
Practice location
2920 Domingo AveSuite 204
Berkeley, CA 94705-2400
Phone 510-466-5636
Mailing address
2920 Domingo AveSuite 204
Berkeley, CA 94705-2400
Phone 510-466-5636
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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