MS. LOLA VILDAVSKAIA PHD
NPI 1437267622
Psychologist - Clinical in San Diego, CA

NPI Status: Active since August 28, 2006

Contact Information

4715 VIEWRIDGE AVE STE 230
SAN DIEGO, CA
ZIP 92123
Phone: (800) 257-8715
Fax: (800) 819-1655

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  • Individual
  • Female
  • Years of Experience 31
  • Psychologist
  • Clinical
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About LOLA VILDAVSKAIA

This page provides the complete NPI Profile along with additional information for Lola Vildavskaia, a provider established in San Diego, California with a medical specialization in Psychologist, focusing in clinical and more than 31 years of experience. The healthcare provider is registered in the NPI registry with number 1437267622 assigned on August 2006. The practitioner's primary taxonomy code is 103TC0700X with license number PSY18986 (CA). The provider is registered as an individual and her NPI record was last updated 18 years ago.

NPI
1437267622
Provider Name
MS. LOLA VILDAVSKAIA PHD
Gender
Female
Entity Type
Individual
Location Address
4715 VIEWRIDGE AVE STE 230 SAN DIEGO, CA 92123
Location Phone
(800) 257-8715
Location Fax
(800) 819-1655
Mailing Address
36 GARDEN GROVE DR DALY CITY, CA 94015
Mailing Phone
(650) 994-9008
Medical School Name
OTHER
Graduation Year
1995
Is Sole Proprietor?
No
Enumeration Date
08-28-2006
Last Update Date
07-08-2007
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A clinical psychologist like Lola Vildavskaia assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist Clinical

Taxonomy Code
103TC0700X
Type
Behavioral Health & Social Service Providers
License No.
PSY18986
License State
CA
Taxonomy Description
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
PSY018986MEDICAID (05)CA 
OPL189861MEDICARE ID-TYPE UNSPECIFIED (04)CA 

Medicare Participation & PECOS Enrollment Status

Lola Vildavskaia is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Lola Vildavskaia is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 5294786109

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20050208001079

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Psychiatric diagnostic evaluation

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

This service was performed 18 times for 17 patients

Psychotherapy, 1 hour

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.

This service was performed 114 times for 21 patients

Psychotherapy, 45 minutes

Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.

This service was performed 168 times for 20 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $46.17 for a new patient copayment and $27.1 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 92123 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99205

  • Average New Patient Price $184.71
  • Minimum New Patient Price $62.1
  • Maximum New Patient Price $184.71
  • Average New Patient Copayment $46.17
  • Minimum New Patient Copayment $15.52
  • Maximum New Patient Copayment $46.17

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $108.42
  • Minimum Established Patient Price $20.62
  • Maximum Established Patient Price $151.42
  • Average Established Patient Copayment $27.1
  • Minimum Established Patient Copayment $5.15
  • Maximum Established Patient Copayment $37.85

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1437267622
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2467461464
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 6 + 7 + 4 + 6 + 1 + 4 + 6 + 4 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1437267622 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1780646729 SHANNON RENEE WHYTE PHD
Individual
Psychologist4715 VIEWRIDGE AVE STE 230
SAN DIEGO, CA 92123
(800) 257-8715
1033138433 HENRY R. BERNAL LCSW
Individual
Social Worker (Clinical)4715 VIEWRIDGE AVE STE 230
SAN DIEGO, CA 92123
(800) 257-8715
1700805777DR. CHERA E VANBURG PHD
Individual
Psychologist (Clinical)4715 VIEWRIDGE AVE STE 230
SAN DIEGO, CA 92123
(800) 257-8715
1295747079 JOHN E. THVEDT EDD
Individual
Psychologist (Clinical)4715 VIEWRIDGE AVE STE 230
SAN DIEGO, CA 92123
(800) 257-8715
1992814701 RICHARD DAIMS PHD
Individual
Psychologist (Clinical)4715 VIEWRIDGE AVE STE 230
SAN DIEGO, CA 92123
(800) 257-8715
1174635239 ANTJE FECHNER PSYD
Individual
Psychologist (Clinical)4715 VIEWRIDGE AVE STE 230
SAN DIEGO, CA 92123
(800) 257-8715
1316059470 MYRA LAMERS PHD
Individual
Psychologist (Clinical)4715 VIEWRIDGE AVE STE 230
SAN DIEGO, CA 92123
(800) 257-8715
1184726150 DAVID GENTRY
Individual
Psychologist (Clinical)4715 VIEWRIDGE AVE STE 230
SAN DIEGO, CA 92123
(800) 257-8715
1235231861 CHARLES COOPER PHD
Individual
Psychologist (Clinical)4715 VIEWRIDGE AVE STE 230
SAN DIEGO, CA 92123
(800) 257-8715
1679675961 BRENDA NICKOLAISON LCSW
Individual
Social Worker (Clinical)4715 VIEWRIDGE AVE STE 230
SAN DIEGO, CA 92123
(800) 257-8715
1740383520 RITA CAMPBELL RN, CMSPMH
Individual
Clinical Nurse Specialist (Psychiatric/Mental Health)4715 VIEWRIDGE AVE STE 230
SAN DIEGO, CA 92123
(800) 257-8715
1467555417 GENEVIEVE D. STEVENS PHD
Individual
Psychologist (Clinical)4715 VIEWRIDGE AVE STE 230
SAN DIEGO, CA 92123
(800) 257-8715
1164526190 LUCINDRA CAMPBELL PHD
Individual
Psychologist (Clinical)4715 VIEWRIDGE AVE STE 230
SAN DIEGO, CA 92123
(800) 257-8715
1730211327 ANGEL BAKER LCSW
Individual
Social Worker (Clinical)4715 VIEWRIDGE AVE STE 230
SAN DIEGO, CA 92123
(800) 257-8715
1861603029 JULIE A GERSCH PHD
Individual
Psychologist (Clinical)4715 VIEWRIDGE AVE STE 230
SAN DIEGO, CA 92123
(800) 257-8715
1023248432DR. NINA ENGELHARDT PHD
Individual
Psychologist (Clinical)4715 VIEWRIDGE AVE STE 230
SAN DIEGO, CA 92123
(858) 454-3610
1639513732DR. LYNNE BARTZ PH.D.
Individual
Psychologist (Clinical)4715 VIEWRIDGE AVE STE 230
SAN DIEGO, CA 92123
(530) 219-8596
1487081725DR. SARAH ELIZABETH PEPPER PH.D.
Individual
Psychologist (Clinical)4715 VIEWRIDGE AVE STE 230
SAN DIEGO, CA 92123
(800) 257-8715
1952534265 MICHAEL WOOD
Individual
Psychologist (Clinical)4715 VIEWRIDGE AVE STE 230
SAN DIEGO, CA 92123
(800) 257-8715
1649404948DR. MICHELLE KOREN BOSWELL PH.D., HSPP
Individual
Psychologist (Clinical)4715 VIEWRIDGE AVE STE 230
SAN DIEGO, CA 92123
(800) 257-8715

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1437267622, enumerated in the NPI registry as an "individual" on August 28, 2006

The provider is located at 4715 Viewridge Ave Ste 230 San Diego, Ca 92123 and the phone number is (800) 257-8715

The provider's speciality is Psychologist with taxonomy code 103TC0700X with a focus in Clinical

The provider has more than 31 years of experience.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

Medicare beneficiaries should expect a typical cost of $184.71 with an average copayment of $46.17 for new patient appointments. Established patients should expect a typical charge of $108.42 and an average copayment of 27.1. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Psychiatric diagnostic evaluation, Psychotherapy, 1 hour and Psychotherapy, 45 minutes.

This NPI record was last updated on August 28, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.