ERICA SCHIMBOR KORNBLITH PHD
NPI 1033464219
Psychologist - Clinical in San Francisco, CA
About Erica Schimbor Kornblith Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ERICA SCHIMBOR KORNBLITH PHD (NPI 1033464219) is an individual clinical provider in San Francisco, California, licensed in California (28938) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Erica Schimbor Kornblith Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Erica Kornblith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Diego, CA 92127
- Reassigned Medicare billing, California enrollment
- 9 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94121 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN FRANCISCO, CA 94121
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Erica Kornblith's NPI number?
The NPI number for Erica Kornblith is 1033464219. It was assigned to this individual provider in the NPPES registry on July 13, 2012.
Where is Erica Kornblith located?
Erica Kornblith practices at 4150 Clement St, San Francisco, CA 94121. The listed phone number is (415) 221-4810.
What is Erica Kornblith's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Erica Kornblith enrolled in Medicare?
Yes. Erica Kornblith is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Erica Kornblith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Erica Kornblith reassigns Medicare benefits to Minder Neuropsychological Services Inc. (San Diego, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Erica Kornblith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Erica Kornblith was last updated on May 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Erica Schimbor Kornblith, PHD · NPI 1033464219
Clinical provider in San Francisco, California. Individual provider, active in the CMS NPPES registry since July 13, 2012.
## Identity
- **NPI:** 1033464219 (Entity type: Individual)
- **Enumerated:** July 13, 2012
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 28938 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 4150 CLEMENT ST, San Francisco, CA 94121-1563
- **Phone:** (415) 221-4810
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Minder Neuropsychological Services Inc. (NPI 1316637200, San Diego, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** May 18, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1033464219) · Data from the CMS NPPES public registry.