Individual provider Active NPI

Priya Mahurkar, PH.D.

  • Clinical Psychologist
  • Cupertino, CA
National Provider Identifier
1124302195
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY24059 Issued in CA
Practice address
21760 Stevens Creek Blvd Ste 102
Cupertino, CA 95014-1170
Phone
(408) 230-4992
NPI assigned
Oct 7, 2011
Last updated
Apr 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY24059 CA Primary

Addresses

Primary practice location

21760 Stevens Creek Blvd Ste 102
Cupertino, CA 95014-1170

Mailing address

21760 Stevens Creek Blvd Ste 102
Cupertino, CA 95014-1170
Phone (408) 230-4992

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
I20120514000612 CA Practitioner - Clinical Psychologist 5294998076 Reassigns benefits to 1 organization
Practice locations: Cupertino, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

21760 Stevens Creek Blvd
Suite 102
Cupertino, CA 95014-1170
Phone (408) 230-4992

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY24059CAMDClinical Psychologist
24059CAMDOccupational Therapist

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1317945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1124302195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21760 STEVENS CREEK BLVD STE 102",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950141170",
            "telephone_number": "408-230-4992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21760 STEVENS CREEK BLVD STE 102",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950141170",
            "telephone_number": "408-230-4992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHURKAR",
        "first_name": "PRIYA",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-07",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY24059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cupertino, CA

Sources for this page

Verify at the official NPI Registry.