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DR. ERIC JONATHAN FITZMEDRUD PH.D.
NPI 1659400141
Psychologist - Clinical in San Pablo, CA

Active since March 02, 2007
5636 CASINO AVE, SAN PABLO, CA 94806(650) 814-7823 Get Directions Write a Review

NPPES record last updated: December 6, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Eric Jonathan Fitzmedrud Ph.d. NPPES

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

DR. ERIC JONATHAN FITZMEDRUD PH.D. (NPI 1659400141) is an individual clinical provider in San Pablo, California, licensed in California (PSY23669) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1659400141
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. ERIC JONATHAN FITZMEDRUDCredential: PH.D.
Location Address5636 CASINO AVESan Pablo, CA 94806-4232
Mailing Address221 Main Strret, #706Los Altos, CA 94023-0706 · (650) 814-7823
Phone(650) 814-7823
Sole ProprietorYes
Enumeration DateMarch 2, 2007
Last NPPES UpdateDecember 6, 2021
NPPES CertifiedNovember 29, 2021
✔ NPI 1659400141 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 · PSY23669
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.
5636 CASINO AVE, San Pablo, CA 94806
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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 Eric Fitzmedrud's NPI number?

The NPI number for Eric Fitzmedrud is 1659400141. It was assigned to this individual provider in the NPPES registry on March 2, 2007.

Where is Eric Fitzmedrud located?

Eric Fitzmedrud practices at 5636 Casino Ave, San Pablo, CA 94806. The listed phone number is (650) 814-7823.

What is Eric Fitzmedrud's specialty?

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

When was this NPI record last updated?

The NPPES record for Eric Fitzmedrud was last updated on December 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.