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NANDINI DATTA PHD
NPI 1356820757
Psychologist - Clinical Child & Adolescent in Palo Alto, CA

Active since August 07, 2018PECOS EnrolledAccepts Medicare Assignment
725 WELCH RD, PALO ALTO, CA 94304(650) 497-8000 Get Directions Write a Review

NPPES record last updated: April 28, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 28, 2024, Jun 13, 2023, Aug 7, 2018 (3 updates tracked since 2018).

About Nandini Datta Phd NPPES

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

NANDINI DATTA PHD (NPI 1356820757) is an individual clinical child & adolescent provider in Palo Alto, California, licensed in California (PSY34007) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Palo Alto, and is a graduate of Duke University School Of Medicine (2019).

NPPES Registry Identity

NPI1356820757
Entity TypeIndividualFemale
Primary Taxonomy103TC2200X
Provider Legal NameNANDINI DATTACredential: PHD
Location Address725 WELCH RDPalo Alto, CA 94304-1601
Mailing Address725 Welch RdPalo Alto, CA 94304-1601 · (650) 497-8000
Phone(650) 497-8000
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 2019
Enumeration DateAugust 7, 2018
Last NPPES UpdateApril 28, 20243 updates tracked since enumeration
NPPES CertifiedApril 28, 2024
✔ NPI 1356820757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
License✔ Licensed in CA · PSY34007
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
Also ListedPsychologistTaxonomy 103T00000X · License PSY34007 (CA)
725 WELCH RD, Palo Alto, CA 94304
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Secondary Practice Location 1

Location 1650 Clark WayPalo Alto, CA 94304-2300 · Phone (650) 326-5530

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

Nandini Datta 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 ID3678938834
PECOS Enrollment IDI20230424001536
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 Reassignments

2

Medicare enrollment records show Nandini Datta reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lpch Medical Group Div Of Lucile
Same address
Children
725 WELCH RD
Palo Alto, CA 94304
  • Reassigned Medicare billing, California enrollment
  • 3,617 clinicians in this Medicare group
NPI 1417907940 (650) 498-6762
Stanford Health Care
0.2 mi
General Acute Care Hospital
300 PASTEUR DRIVE
Stanford, CA 94305
  • Reassigned Medicare billing, California enrollment
  • 4,258 clinicians in this Medicare group
NPI 1437292927 (650) 723-4000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

EIRI INENAGA MS, OTR/L
Occupational Therapist (Pediatrics)
725 WELCH RD
PALO ALTO, CA 94304
Santa Clara County (650) 497-8218
WENDY LEIGH ADAMS ARNP
Nurse Practitioner (Neonatal)
725 WELCH RD
PALO ALTO, CA 94304
Santa Clara County (650) 497-8000
KEVIN WEI-HAN CHI MD
Pediatrics
725 WELCH RD
PALO ALTO, CA 94304
Santa Clara County (650) 497-8000
ASHEEN RAMA MD
Anesthesiology (Pediatric Anesthesiology)
725 WELCH RD
PALO ALTO, CA 94304
Santa Clara County (650) 497-8000
CRYSTAL LEE MACKALL MD
Pediatrics (Pediatric Hematology-Oncology)
725 WELCH RD
PALO ALTO, CA 94304
Santa Clara County (650) 497-8000
KRISTI LYNNE O'CONNOR OT
Occupational Therapist
725 WELCH RD
PALO ALTO, CA 94304
Santa Clara County (650) 497-8000
LAUREN GENNA ROOS NP
Nurse Practitioner
725 WELCH RD
PALO ALTO, CA 94304
Santa Clara County (650) 497-8000
SHALINI MITTAL MD
Hospitalist
725 WELCH RD
PALO ALTO, CA 94304
Santa Clara County (650) 497-8000

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 Nandini Datta's NPI number?

The NPI number for Nandini Datta is 1356820757. It was assigned to this individual provider in the NPPES registry on August 7, 2018.

Where is Nandini Datta located?

Nandini Datta practices at 725 Welch Rd, Palo Alto, CA 94304. The listed phone number is (650) 497-8000.

What is Nandini Datta's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Nandini Datta enrolled in Medicare?

Yes. Nandini Datta 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 Nandini Datta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nandini Datta reassigns Medicare benefits to 2 organizations: Lpch Medical Group Div Of Lucile (Palo Alto, CA) and Stanford Health Care (Stanford, 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 Nandini Datta'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 Nandini Datta was last updated on April 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.