DR. JACOB ANDREW EIDE PSY.D.
NPI 1760701023
Psychologist - Clinical in Mammoth Lakes, CA

Q: What is Jacob Eide's NPI number?

The NPI number for Jacob Eide is 1760701023. It was assigned to this individual provider in the NPPES registry on May 26, 2010.

Q: What is Jacob Eide's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jacob Eide was last updated on January 27, 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.

Active since May 26, 2010PECOS EnrolledAccepts Medicare Assignment

85 SIERRA PARK RD, MAMMOTH LAKES, CA 93546(760) 924-4333 Get Directions Write a Review

NPPES record last updated: January 27, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 27, 2026, Dec 8, 2020, Jul 26, 2018 (3 updates tracked since 2018).

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About Dr. Jacob Andrew Eide Psy.d. NPPES

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

DR. JACOB ANDREW EIDE PSY.D. (NPI 1760701023) is an individual clinical provider in Mammoth Lakes, California, licensed in California (PSY27059) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1760701023

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. JACOB ANDREW EIDECredential: PSY.D.

Location Address85 SIERRA PARK RDMammoth Lakes, CA 93546

Mailing Address858 S Barlow LnBishop, CA 93514-3144 · (206) 407-7930

Phone(760) 924-4333

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateMay 26, 2010

Last NPPES UpdateJanuary 27, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 27, 2026

✔ NPI 1760701023 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 · PSY27059

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.

85 SIERRA PARK RD, Mammoth Lakes, CA 93546

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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. Jacob Andrew Eide Psy.d. 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 ID1850417171

PECOS Enrollment IDI20100923001314, I20180201003192

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93546 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$176.60 typical visit price

range $58.87 – $176.60

Typical copayment $44.15 (range $14.71 – $44.15)

Most-billed visit code 99205

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

PHYLLIS LEE MENESES RN

Registered Nurse (Registered Nurse First Assistant)