ANNETTE A STRACK (PH.D.) – Clinical Psychologist, NPI 1003993239

ANNETTE A STRACK (PH.D.) is a healthcare provider. based in Petaluma, California. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. PSY8452 (CA). The NPI Number for ANNETTE A STRACK (PH.D.) is 1003993239

Main info

Female
Sole Proprietor
46 Years Of Experience
Accepts Medicare Assignment
Name
ANNETTE A STRACK (PH.D.)
NPI
1003993239
Phone
Not provided
Address
318 WESTERN AVE
Enumeration Date
1 November 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7077626216
Graduation Year
1980 (46 years ago)
PAC ID
0244407294
Professional Enrollment ID
I20120117000122
Address ID
CA949522919PE318XXAVEX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,434 CLINICAL PSYCHOLOGIST in CA

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Provider Addresses for ANNETTE A STRACK (PH.D.)

  • 318, Western Avenue, Petaluma, Sonoma County, California, 94952, United States

    PETALUMA, CA 949522919

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-01-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120117000122IClinical PsychologistCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour49711$0
View full utilization report →

Insurance plans in this area (ZIP 94952)

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Reviews

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Frequently asked questions

Is there an official ID for ANNETTE A STRACK (PH.D.) in U.S. healthcare records?
The official identifier for ANNETTE A STRACK (PH.D.) is NPI 1003993239.
Is ANNETTE A STRACK (PH.D.) shown as active in public data?
Registry records indicate ANNETTE A STRACK (PH.D.) maintains an active NPI.
What clinical focus is listed for ANNETTE A STRACK (PH.D.)?
At a glance, ANNETTE A STRACK (PH.D.) is tied to Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Is ANNETTE A STRACK (PH.D.) located near Petaluma?
ANNETTE A STRACK (PH.D.) currently maps to Petaluma, California in this extract.
Can I trust this NPI listing for ANNETTE A STRACK (PH.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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