Active NPI
Ami Israel Student, PSY.D.
- Clinical Psychologist
- Rancho Mirage, CA
National Provider Identifier
1063725794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 27086
- Practice address
- 39900 Desert Sun Dr
Rancho Mirage, CA 92270-3607 - Phone
- (213) 465-0040
- NPI assigned
- Jul 22, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 27086 | CA | Primary |
| Clinical Psychologist | 103TC0700X | 028135 | NY | |
| Clinical Psychologist | 103TC0700X | 202862 | ID | |
| Clinical Psychologist | 103TC0700X | 3673 | OR |
Addresses
Primary practice location
39900 Desert Sun Dr
Rancho Mirage, CA 92270-3607
Mailing address
42440 Bob Hope Dr Suite 1
#150
Rancho Mirage, CA 92270
Phone (213) 465-0040
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250227001609 | CA | Practitioner - Clinical Psychologist | 4789104266 | Practice locations: Rancho Mirage, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 202862 | ID | MD | Clinical Psychologist |
| 028135 | NY | MD | Clinical Psychologist |
| 3673 | OR | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780358400000",
"number": "1063725794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42440 BOB HOPE DR SUITE 1",
"address_2": "#150",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "92270",
"telephone_number": "213-465-0040",
"fax_number": "949-739-0225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39900 DESERT SUN DR",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922703607",
"telephone_number": "213-465-0040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUDENT",
"first_name": "AMI",
"middle_name": "ISRAEL",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-07-22",
"last_updated": "2026-06-02",
"certification_date": "2026-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "27086",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "028135",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "ID",
"license": "202862",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OR",
"license": "3673",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rancho Mirage, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.