Individual provider Active NPI

Elizabeth Nepstad Treitel, PSYD

  • Clinical Psychologist
  • Cupertino, CA
National Provider Identifier
1245045624
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
94028813 Issued in CA
Practice address
21710 Stevens Creek Blvd # 222
Cupertino, CA 95014-1172
Phone
(408) 214-4594
NPI assigned
Feb 11, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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 94028813 CA Primary

Addresses

Primary practice location

21710 Stevens Creek Blvd # 222
Cupertino, CA 95014-1172

Mailing address

21710 Stevens Creek Blvd # 222
Cupertino, CA 95014-1172
Phone (408) 214-4594

Other names 1

  • Dr. Elizabeth Nepstad Former name

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

LicenseStateTypeSpecialty
94028813CAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1739232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1245045624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21710 STEVENS CREEK BLVD # 222",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950141172",
            "telephone_number": "408-214-4594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21710 STEVENS CREEK BLVD # 222",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950141172",
            "telephone_number": "408-214-4594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREITEL",
        "first_name": "ELIZABETH",
        "middle_name": "NEPSTAD",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-11",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "94028813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "NEPSTAD",
            "prefix": "DR.",
            "credential": "PSYD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cupertino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.