Active NPI
Edna Marie Esnil, PSY.D.
- Psychologist
- Menlo Park, CA
National Provider Identifier
1013291376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY 20471
- Practice address
- 885 Oak Grove Ave Ste 210
Menlo Park, CA 94025-4441 - Phone
- (650) 255-2679
- NPI assigned
- Oct 5, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY 20471 | CA | Primary |
Addresses
Primary practice location
885 Oak Grove Ave Ste 210
Menlo Park, CA 94025-4441
Mailing address
885 Oak Grove Ave Ste 210
Menlo Park, CA 94025-4441
Phone (650) 255-2679
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 20471 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317772800000",
"number": "1013291376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "885 OAK GROVE AVE STE 210",
"city": "MENLO PARK",
"state": "CA",
"postal_code": "940254441",
"telephone_number": "650-255-2679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "885 OAK GROVE AVE STE 210",
"city": "MENLO PARK",
"state": "CA",
"postal_code": "940254441",
"telephone_number": "650-255-2679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESNIL",
"first_name": "EDNA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-05",
"last_updated": "2011-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY 20471",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Menlo Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.