POONAM NINA BANERJEE PHD
NPI 1104143197
Psychologist in Yorba Linda, CA

Active since April 29, 2010PECOS EnrolledAccepts Medicare Assignment
20409 YORBA LINDA BLVD STE 129-K, YORBA LINDA, CA 92886(917) 370-6350(949) 208-6981 Get Directions Write a Review

NPPES record last updated: December 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Poonam Nina Banerjee Phd NPPES

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

POONAM NINA BANERJEE PHD (NPI 1104143197) is an individual psychologist in Yorba Linda, California, licensed in California (PSY24249) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1104143197
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NamePOONAM NINA BANERJEECredential: PHD
Location Address20409 YORBA LINDA BLVD STE 129-KYorba Linda, CA 92886-3042
Mailing Address20409 Yorba Linda Blvd Ste 129-kYorba Linda, CA 92886-3042 · (917) 370-6350 · Fax (949) 208-6981
Fax(949) 208-6981
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateApril 29, 2010
Last NPPES UpdateDecember 18, 2025
NPPES CertifiedDecember 18, 2025
NPI 1104143197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · PSY24249
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.
Also ListedClinical NeuropsychologistTaxonomy 103G00000X · License PSY 24249 (CA)
20409 YORBA LINDA BLVD STE 129-K, Yorba Linda, CA 92886

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Poonam Nina Banerjee Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5890965917
PECOS Enrollment IDI20110829000599
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
494 services27 patients
Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
242 services12 patients
Psychiatric diagnostic evaluation 90791
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.
34 services27 patients

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 Poonam Banerjee's NPI number?

The NPI number for Poonam Banerjee is 1104143197. It was assigned to this individual provider in the NPPES registry on April 29, 2010.

Where is Poonam Banerjee located?

Poonam Banerjee practices at 20409 Yorba Linda Blvd Ste 129-K, Yorba Linda, CA 92886. The listed phone number is (917) 370-6350.

What is Poonam Banerjee's specialty?

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

Is Poonam Banerjee enrolled in Medicare?

Yes. Poonam Banerjee is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Poonam Banerjee accept?

Health plans from Providence Health Plan list Poonam Banerjee as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Poonam Banerjee was last updated on December 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.