DR. JAIME NISENBAUM PH.D.
NPI 1902114523
Psychologist in San Rafael, CA

Active since September 16, 2010
711 D ST STE 201, SAN RAFAEL, CA 94901(415) 516-0797 Get Directions Write a Review

NPPES record last updated: September 16, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jaime Nisenbaum Ph.d. NPPES

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

DR. JAIME NISENBAUM PH.D. (NPI 1902114523) is an individual psychologist in San Rafael, California, licensed in California (PSY 23623) and active in the NPI registry since September 2010.

NPPES Registry Identity

NPI1902114523
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. JAIME NISENBAUMCredential: PH.D.
Location Address711 D ST STE 201San Rafael, CA 94901-3704
Mailing Address1 Longview AveSan Anselmo, CA 94960-2325 · (415) 516-0797 · Fax (415) 456-2291
Sole ProprietorYes
Enumeration DateSeptember 16, 2010
NPI 1902114523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · PSY 23623
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.

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License PSY 23623 (CA)
Also ListedPsychologist · CounselingTaxonomy 103TC1900X · License PSY 23623 (CA)
711 D ST STE 201, San Rafael, CA 94901

Other Providers at the Same Location NPPES

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

Marriage & Family Therapist
711 D ST STE 201
SAN RAFAEL, CA 94901

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 Jaime Nisenbaum's NPI number?

The NPI number for Jaime Nisenbaum is 1902114523. It was assigned to this individual provider in the NPPES registry on September 16, 2010.

Where is Jaime Nisenbaum located?

Jaime Nisenbaum practices at 711 D St Ste 201, San Rafael, CA 94901. The listed phone number is (415) 516-0797.

What is Jaime Nisenbaum'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 Jaime Nisenbaum was last updated on September 16, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.