Individual provider Active NPI

Iris McNabola, PH.D.

  • Clinical Neuropsychologist
  • San Ramon, CA
National Provider Identifier
1083874564
Registry record updated Jun 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PSY24878 Issued in CA
Practice address
111 Deerwood Rd Ste 200
San Ramon, CA 94583-4445
Phone
(925) 270-4499
Fax
(925) 270-4499
NPI assigned
Jun 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PSY24878 CA Primary

Addresses

Primary practice location

111 Deerwood Rd Ste 200
San Ramon, CA 94583-4445

Mailing address

111 Deerwood Rd Ste 200
San Ramon, CA 94583-4445
Phone (925) 270-4499

Other names 1

  • Iris Weber Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180821003062 CA Practitioner - Clinical Psychologist 8527317700 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

111 Deerwood Rd
Suite 200
San Ramon, CA 94583-4445
Phone (925) 270-4499

Merit-based Incentive Payment System (MIPS)

Final score
22.71 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
75.7

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY24878CAMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Attentive Cognitive and Mental Health Services Psychology Inc. CurrentSince May 1, 2020 Accepting new patients
Brian Wu MD PHD Inc CurrentSince Jul 1, 2021 Accepting new patients

Locations

11835 W Olympic Blvd
Ste 1270E
Los Angeles, CA 90064
Phone (310) 273-4843

1790 Muir Rd
Martinez, CA 94553
Phone (925) 228-8383

111 Deerwood Rd
Ste 200
San Ramon, CA 94583
Phone (925) 270-4499

16890 Green Tree Blvd
Victorville, CA 92395
Phone (310) 273-4843

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591056000000",
    "number": "1083874564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 DEERWOOD RD STE 200",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945834445",
            "telephone_number": "925-270-4499",
            "fax_number": "925-270-4499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 DEERWOOD RD STE 200",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945834445",
            "telephone_number": "925-270-4499",
            "fax_number": "925-270-4499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNABOLA",
        "first_name": "IRIS",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-10",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY24878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IRIS",
            "last_name": "WEBER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Ramon, CA

Sources for this page

Verify at the official NPI Registry.