MARINA KAMINETSKAYA PH.D.
NPI 1184134348
Clinical Neuropsychologist in Auburn, CA

Q: What is Marina Kaminetskaya's NPI number?

The NPI number for Marina Kaminetskaya is 1184134348. It was assigned to this individual provider in the NPPES registry on October 2, 2017.

Q: What is Marina Kaminetskaya's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Active since October 02, 2017PECOS EnrolledAccepts Medicare Assignment

1121 MAIDU DR, AUBURN, CA 95603(530) 888-1118 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 11, 2022, Mar 27, 2018, Jan 16, 2018 (3 updates tracked since 2018).

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About Marina Kaminetskaya Ph.d. NPPES

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

MARINA KAMINETSKAYA PH.D. (NPI 1184134348) is an individual clinical neuropsychologist in Auburn, California, licensed in California (29179) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1184134348

Entity TypeIndividualFemale

Primary Taxonomy103G00000X

Provider Legal NameMARINA KAMINETSKAYACredential: PH.D.

Location Address1121 MAIDU DRAuburn, CA 95603-5808

Mailing AddressPo Box 513Rocklin, CA 95677-0513

Phone(530) 888-1118

Sole ProprietorYes

Medical School CMSOtherGraduated 2015

Enumeration DateOctober 2, 2017

Last NPPES UpdateFebruary 11, 20223 updates tracked since enumeration

✔ NPI 1184134348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in CA · 29179

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

Also ListedPsychologistTaxonomy 103T00000X · License 29179 (CA)

1121 MAIDU DR, Auburn, CA 95603

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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

Marina Kaminetskaya Ph.d. 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 ID7517226798

PECOS Enrollment IDI20180404001817

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.

Medicare Billing Reassignment

Medicare enrollment records show Marina Kaminetskaya reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mk Neuropsychology Services, PC

13 mi

Clinical Neuropsychologist

6520 LONETREE BLVD STE 1021
Rocklin, CA 95765

Reassigned Medicare billing, California enrollment

NPI 1194233866 (916) 672-1427

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 5

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.

Evaluation of neuropsychological test, each additional hour 96133

This service involves further evaluation of your neuropsychological test results beyond the initial hour. It helps to understand your cognitive functioning better, focusing on areas like memory, attention, and problem-solving skills.

144 services25 patients

Administration of psychological or neuropsychological test, each additional 30 minutes 96137

This procedure involves administering psychological or neuropsychological tests to evaluate your mental functions. Each additional 30 minutes allows for a more in-depth assessment of your cognitive abilities, emotions, and behavior. It's crucial for accurate diagnosis and treatment planning.

127 services25 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.

25 services25 patients

Evaluation of neuropsychological test, first hour 96132

An evaluation of neuropsychological tests is a process to assess your brain's function. It involves tasks designed to measure cognitive abilities such as memory, attention, problem-solving, and language skills. The first hour involves initial testing and observation.

25 services25 patients

Administration of psychological or neuropsychological test, first 30 minutes 96136

This procedure involves a health professional conducting a psychological or neuropsychological test. The first 30 minutes typically involve understanding your mental health or brain function through various assessments. This helps in diagnosing and treating mental health disorders effectively.

25 services25 patients

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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