DR. ERIN MALIA CISNEROS PSY.D.
NPI 1063664456
Psychologist in San Diego, CA

Active since October 16, 2008Opted out of Medicare · through Apr 1, 2027
4231 BALBOA AVE # 1465, SAN DIEGO, CA 92117(808) 269-4054 Get Directions Write a Review

NPPES record last updated: January 6, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Erin Malia Cisneros Psy.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ERIN MALIA CISNEROS PSY.D. (NPI 1063664456) is an individual psychologist in San Diego, California and active in the NPI registry since October 2008. She has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1063664456
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. ERIN MALIA CISNEROSCredential: PSY.D.
Location Address4231 BALBOA AVE # 1465San Diego, CA 92117-5504
Mailing Address3033 Nute WaySan Diego, CA 92117-4312 · (808) 269-4054
Sole ProprietorYes
Enumeration DateOctober 16, 2008
Last NPPES UpdateJanuary 6, 2025
NPPES CertifiedJanuary 6, 2025
NPI 1063664456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

4231 BALBOA AVE # 1465, San Diego, CA 92117

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Erin Malia Cisneros Psy.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2019 through April 1, 2027.

Opt-Out Effective DateApril 1, 2019
Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Erin Cisneros's NPI number?

The NPI number for Erin Cisneros is 1063664456. It was assigned to this individual provider in the NPPES registry on October 16, 2008.

Where is Erin Cisneros located?

Erin Cisneros practices at 4231 Balboa Ave # 1465, San Diego, CA 92117. The listed phone number is (808) 269-4054.

What is Erin Cisneros's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Erin Cisneros enrolled in Medicare?

No. Erin Cisneros has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Erin Cisneros was last updated on January 6, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.