POONAM NINA BANERJEE PHD
NPI 1104143197
Psychologist in Yorba Linda, CA
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
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Poonam Banerjee reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Riverside, CA 92506
- Reassigned Medicare billing, California enrollment
- 40 clinicians in this Medicare group
Santa Clara, CA 95054
- Reassigned Medicare billing, California enrollment
- 1,607 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.
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.
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.
Which organizations bill Medicare for Poonam Banerjee's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Poonam Banerjee reassigns Medicare benefits to 2 organizations: Nebula Health, LLC (Riverside, CA) and Sud Specialty Group - Ca (Santa Clara, CA). Each 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 Poonam Banerjee'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 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 10 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.