NINA CLARK ERICSON PH.D.
NPI 1649830282
Psychologist in Menlo Park, CA

Active since June 17, 2019
1220 UNIVERSITY DR STE 103, MENLO PARK, CA 94025(650) 533-3130 Get Directions Write a Review

NPPES record last updated: June 17, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nina Clark Ericson Ph.d. NPPES

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

NINA CLARK ERICSON PH.D. (NPI 1649830282) is an individual psychologist in Menlo Park, California, licensed in California (PSY12589) and active in the NPI registry since June 2019.

NPPES Registry Identity

NPI1649830282
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameNINA CLARK ERICSONCredential: PH.D.
Location Address1220 UNIVERSITY DR STE 103Menlo Park, CA 94025-4265
Mailing Address1044 Bryant StPalo Alto, CA 94301-2712 · (650) 533-3130
Sole ProprietorYes
Enumeration DateJune 17, 2019
NPI 1649830282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · PSY12589
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
1220 UNIVERSITY DR STE 103, Menlo Park, CA 94025

Other Providers at the Same Location NPPES 4

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

Massage Therapist
1220 UNIVERSITY DR STE 103
MENLO PARK, CA 94025
Counselor (Mental Health)
1220 UNIVERSITY DR STE 103
MENLO PARK, CA 94025
Marriage & Family Therapist
1220 UNIVERSITY DR STE 103
MENLO PARK, CA 94025
Psychiatry & Neurology (Psychiatry)
1220 UNIVERSITY DR STE 103
MENLO PARK, CA 94025

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 Nina Ericson's NPI number?

The NPI number for Nina Ericson is 1649830282. It was assigned to this individual provider in the NPPES registry on June 17, 2019.

Where is Nina Ericson located?

Nina Ericson practices at 1220 University Dr Ste 103, Menlo Park, CA 94025. The listed phone number is (650) 533-3130.

What is Nina Ericson's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Nina Ericson was last updated on June 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.