Elaina Roytman Vederman, M.A., PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY24449 Issued in CA

Practice address

1838 El Camino Real Ste 400
Burlingame, CA 94010-3126

Phone

(415) 710-9134

NPI assigned

Sep 18, 2007

Last updated

Sep 14, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Elaina Roytman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315958400000",
    "number": "1245426816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1838 EL CAMINO REAL STE 400",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103126",
            "telephone_number": "415-710-9134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1838 EL CAMINO REAL STE 400",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103126",
            "telephone_number": "415-710-9134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEDERMAN",
        "first_name": "ELAINA",
        "middle_name": "ROYTMAN",
        "name_prefix": "Dr.",
        "credential": "M.A., PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-18",
        "last_updated": "2011-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY24449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELAINA",
            "last_name": "ROYTMAN",
            "credential": "M.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Geoffrey Van Den Brande, N.P.
• Chad Vanhill, CCP
• Radhika Varma, MD
• Georgina Ann Vasiloudis, MPT
• Kate Vazaios, LMHC
• Hugo Enrique Vega-Interiano
• Megan Velcich, OTR/L
• Diksha Venkatesh, PTA
• Vino J Verghese, MD
• Angela Vespoli

• Clinical Psychologist in Burlingame, CA
• Providers in Burlingame, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.

Verify at the official NPI Registry.