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DR. JACOB KAMINKER PHD
NPI 1700102977
Psychologist - Clinical in Berkeley, CA

Active since April 13, 2010Opted out of Medicare · through Apr 1, 2027
1918 BONITA AVE # 208, BERKELEY, CA 94704(510) 995-6358 Get Directions Write a Review

NPPES record last updated: January 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jacob Kaminker Phd NPPES

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

DR. JACOB KAMINKER PHD (NPI 1700102977) is an individual clinical provider in Berkeley, California, licensed in California (PSY 26445) and active in the NPI registry since April 2010. He has opted out of Medicare through April 1, 2027.

NPPES Registry Identity

NPI1700102977
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JACOB KAMINKERCredential: PHD
Location Address1918 BONITA AVE # 208Berkeley, CA 94704-1014
Mailing Address1918 Bonita Ave # 208Berkeley, CA 94704-1014 · (510) 995-6358
Phone(510) 995-6358
Sole ProprietorYes
Enumeration DateApril 13, 2010
Last NPPES UpdateJanuary 15, 2026
NPPES CertifiedJanuary 15, 2026
✔ NPI 1700102977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · PSY 26445
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.
Also ListedPsychologist · CounselingTaxonomy 103TC1900X · License PSY 26445 (CA)
1918 BONITA AVE # 208, Berkeley, CA 94704
Open in Google Maps ↗

Other Identifiers 1

OtherPSY 26445CA · Licensed Clinical Psychologist

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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. Jacob Kaminker Phd 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 April 1, 2021 through April 1, 2027.

Opt-Out Effective DateApril 1, 2021
Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 9

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

JIWON HELEN WYMAN M.D.
Psychiatry & Neurology (Psychiatry)
1918 BONITA AVE # 208
BERKELEY, CA 94704
Alameda County (714) 410-6516
KELLY WOOD LCSW
Social Worker (Clinical)
1918 BONITA AVE # 208
BERKELEY, CA 94704
Alameda County (510) 473-7299
TERRI HUH, PSYCHOLOGIST, PROFESSIONAL CORPORATION
Clinic/Center (Adult Mental Health)
1918 BONITA AVE # 208
BERKELEY, CA 94704
Alameda County (415) 806-1014
EMILY TRAN
Social Worker (Clinical)
1918 BONITA AVE # 208
BERKELEY, CA 94704
Alameda County (510) 764-3429
DR. JOUNG WON HUH PHD
Psychologist (Clinical)
1918 BONITA AVE # 208
BERKELEY, CA 94704
Alameda County (415) 806-1014
RITUAL NUTRITION INC
Dietitian, Registered
1918 BONITA AVE # 208
BERKELEY, CA 94704
Alameda County (510) 671-1454
MS. ELLEN M ALONSO STREET MS, R.D.
Dietitian, Registered
1918 BONITA AVE # 208
BERKELEY, CA 94704
Alameda County (510) 671-1454
DR. JESSICA ERIN PATTERSON PH.D.
Psychologist (Clinical)
1918 BONITA AVE # 208
BERKELEY, CA 94704
Alameda County (707) 509-0815

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 Jacob Kaminker's NPI number?

The NPI number for Jacob Kaminker is 1700102977. It was assigned to this individual provider in the NPPES registry on April 13, 2010.

Where is Jacob Kaminker located?

Jacob Kaminker practices at 1918 Bonita Ave # 208, Berkeley, CA 94704. The listed phone number is (510) 995-6358.

What is Jacob Kaminker's specialty?

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

Is Jacob Kaminker enrolled in Medicare?

No. Jacob Kaminker has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Jacob Kaminker accept?

Health plans from Providence Health Plan list Jacob Kaminker as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacob Kaminker was last updated on January 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.