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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. NIDA MIRZA PSYD
NPI 1346536430
Psychologist - Clinical in Walnut Creek, CA

Active since June 27, 2011Opted out of Medicare · through Jul 1, 2028
1600 S MAIN ST STE 240, WALNUT CREEK, CA 94596(415) 578-0011 Get Directions Write a Review

NPPES record last updated: November 4, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 4, 2026, Jan 3, 2023 (2 updates tracked since 2023).

About Dr. Nida Mirza Psyd NPPES

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

DR. NIDA MIRZA PSYD (NPI 1346536430) is an individual clinical provider in Walnut Creek, California, licensed in California (PSY28205) and active in the NPI registry since June 2011. She has opted out of Medicare through July 1, 2028.

NPPES Registry Identity

NPI1346536430
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. NIDA MIRZACredential: PSYD
Location Address1600 S MAIN ST STE 240Walnut Creek, CA 94596-8811
Mailing Address1600 S Main St Ste 240Walnut Creek, CA 94596-8811 · (415) 578-0011
Phone(415) 578-0011
Sole ProprietorYes
Enumeration DateJune 27, 2011
Last NPPES UpdateNovember 4, 20262 updates tracked since enumeration
NPPES CertifiedNovember 4, 2026
✔ NPI 1346536430 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 · PSY28205
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.
1600 S MAIN ST STE 240, Walnut Creek, CA 94596
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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. Nida Mirza Psyd 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 July 1, 2016 through July 1, 2028.

Opt-Out Effective DateJuly 1, 2016
Opt-Out In Effect ThroughJuly 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 3

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

DEBBIE L ROSENBERG
Marriage & Family Therapist
1600 S MAIN ST STE 240
WALNUT CREEK, CA 94596
Contra Costa County (925) 272-9092
CHELSEA CAMPTON LMFT
Marriage & Family Therapist
1600 S MAIN ST STE 240
WALNUT CREEK, CA 94596
Contra Costa County (925) 444-0688
DEBBIE LEE ROSENBERG
Counselor (Mental Health)
1600 S MAIN ST STE 240
WALNUT CREEK, CA 94596
Contra Costa County (925) 272-9092

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 Nida Mirza's NPI number?

The NPI number for Nida Mirza is 1346536430. It was assigned to this individual provider in the NPPES registry on June 27, 2011.

Where is Nida Mirza located?

Nida Mirza practices at 1600 S Main St Ste 240, Walnut Creek, CA 94596. The listed phone number is (415) 578-0011.

What is Nida Mirza's specialty?

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

Is Nida Mirza enrolled in Medicare?

No. Nida Mirza has opted out of Medicare through July 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Nida Mirza was last updated on November 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.