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POLINA EIDELMAN PH.D.
NPI 1972843977
Psychologist - Clinical in San Diego, CA

Active since February 27, 2013Opted out of Medicare · through Apr 1, 2028
5440 MOREHOUSE DR STE 3800, SAN DIEGO, CA 92121(858) 926-7333 Get Directions Write a Review

NPPES record last updated: March 21, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Polina Eidelman Ph.d. NPPES

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

POLINA EIDELMAN PH.D. (NPI 1972843977) is an individual clinical provider in San Diego, California, licensed in California (PSY25550) and active in the NPI registry since February 2013. She has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1972843977
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NamePOLINA EIDELMANCredential: PH.D.
Location Address5440 MOREHOUSE DR STE 3800San Diego, CA 92121-6703
Mailing Address5440 Morehouse Dr Ste 3800San Diego, CA 92121-6703
Phone(858) 926-7333
Sole ProprietorYes
Enumeration DateFebruary 27, 2013
Last NPPES UpdateMarch 21, 2020
NPPES CertifiedMarch 21, 2020
✔ NPI 1972843977 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 · PSY25550
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.
5440 MOREHOUSE DR STE 3800, San Diego, CA 92121
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Polina Eidelman Ph.d. 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, 2016 through April 1, 2028.

Opt-Out Effective DateApril 1, 2016
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92121 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
$184.71 typical visit price
range $62.10 – $184.71
Typical copayment $46.17 (range $15.52 – $46.17)
Most-billed visit code 99205
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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

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

SHERRY REASBECK
Marriage & Family Therapist
5440 MOREHOUSE DR STE 3800
SAN DIEGO, CA 92121
San Diego County (858) 458-0388

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 Polina Eidelman's NPI number?

The NPI number for Polina Eidelman is 1972843977. It was assigned to this individual provider in the NPPES registry on February 27, 2013.

Where is Polina Eidelman located?

Polina Eidelman practices at 5440 Morehouse Dr Ste 3800, San Diego, CA 92121. The listed phone number is (858) 926-7333.

What is Polina Eidelman's specialty?

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

Is Polina Eidelman enrolled in Medicare?

No. Polina Eidelman has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Polina Eidelman was last updated on March 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.