DR. NATALIE ELVITA KURNIADI PHD
NPI 1477808137
Clinical Neuropsychologist in San Diego, CA

Q: What is Natalie Kurniadi's NPI number?

The NPI number for Natalie Kurniadi is 1477808137. It was assigned to this individual provider in the NPPES registry on July 19, 2012.

Q: What is Natalie Kurniadi's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Natalie Kurniadi was last updated on February 12, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 19, 2012PECOS EnrolledAccepts Medicare Assignment

3990 OLD TOWN AVE STE C303, SAN DIEGO, CA 92110(858) 964-0722(866) 437-0375 Get Directions Write a Review

NPPES record last updated: February 12, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Natalie Elvita Kurniadi Phd NPPES

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

DR. NATALIE ELVITA KURNIADI PHD (NPI 1477808137) is an individual clinical neuropsychologist in San Diego, California, licensed in California (PSY32552) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Juan Capistrano, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1477808137

Entity TypeIndividualFemale

Primary Taxonomy103G00000X

Provider Legal NameDR. NATALIE ELVITA KURNIADICredential: PHD

Location Address3990 OLD TOWN AVE STE C303San Diego, CA 92110-2932

Mailing Address3990 Old Town Ave Ste C303San Diego, CA 92110-2932 · (858) 964-0722 · Fax (866) 437-0375

Phone(858) 964-0722

Fax(866) 437-0375

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJuly 19, 2012

Last NPPES UpdateFebruary 12, 2026

NPPES CertifiedFebruary 12, 2026

✔ NPI 1477808137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

Licenses✔ Licensed in CA · PSY32552✔ Licensed in CA · 32552

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.

3990 OLD TOWN AVE STE C303, San Diego, CA 92110

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Secondary Practice Location 1

Location 129122 Ranch Viejo Dr., Suite 102-GSan Juan Capistrano, CA 92675 · Phone (858) 693-3113

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Natalie Elvita Kurniadi 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 ID8921499104

PECOS Enrollment IDI20211222002156

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.

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.

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.

382 services60 patients

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.

229 services73 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.

76 services69 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.

60 services60 patients

Exam of neurobehavioral status, first hour 96116

An exam of neurobehavioral status is a medical procedure that evaluates your brain's functions. This includes assessing your cognitive abilities, emotional responses, and behavioral patterns. The first hour of the exam is typically dedicated to this initial evaluation.

59 services59 patients

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Other Providers at the Same Location NPPES 5

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

DR. MARIAM A. HUSSAIN PHD

Clinical Neuropsychologist