DR. NINA EISENBERG PHD
NPI 1104376748
Psychologist - Clinical in Martinez, CA

Q: What is Nina Eisenberg's NPI number?

The NPI number for Nina Eisenberg is 1104376748. It was assigned to this individual provider in the NPPES registry on October 6, 2016.

Q: What is Nina Eisenberg's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is Nina Eisenberg enrolled in Medicare?

No. Nina Eisenberg has opted out of Medicare through February 6, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Nina Eisenberg was last updated on October 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since October 06, 2016Opted out of Medicare · through Feb 6, 2028

2500 ALHAMBRA AVE, MARTINEZ, CA 94553(202) 286-5123 Get Directions Write a Review

NPPES record last updated: October 6, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Nina Eisenberg Phd NPPES

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

DR. NINA EISENBERG PHD (NPI 1104376748) is an individual clinical provider in Martinez, California, licensed in California (28692) and active in the NPI registry since October 2016. She has opted out of Medicare through February 6, 2028.

NPPES Registry Identity

NPI1104376748

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. NINA EISENBERGCredential: PHD

Location Address2500 ALHAMBRA AVEMartinez, CA 94553-3156

Mailing Address1371 Trestle Glen RdOakland, CA 94610-2550 · (202) 286-5123

Phone(202) 286-5123

Sole ProprietorYes

Enumeration DateOctober 6, 2016

✔ NPI 1104376748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · 28692

Definition

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.

2500 ALHAMBRA AVE, Martinez, CA 94553

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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. Nina Eisenberg Phd 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 February 6, 2024 through February 6, 2028.

Opt-Out Effective DateFebruary 6, 2024

Opt-Out In Effect ThroughFebruary 6, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

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