Active NPI
Elizabeth Krainer, PH.D., PSY.D.
- Clinical Psychologist
- Albany, CA
National Provider Identifier
1396181194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY 24894
- Practice address
- 1235 Marin Ave Ste D
Albany, CA 94706-2042 - Phone
- (510) 981-4563
- Fax
- (510) 647-8160
- NPI assigned
- May 20, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY 24894 | CA | Primary |
Addresses
Primary practice location
1235 Marin Ave Ste D
Albany, CA 94706-2042
Mailing address
1235 Marin Ave Ste D
Albany, CA 94706-2042
Phone (510) 981-4563
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 24894 | CA | MD | Clinical Psychologist |
| 24894 | CA | MD | Occupational Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369008000000",
"number": "1396181194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1235 MARIN AVE STE D",
"city": "ALBANY",
"state": "CA",
"postal_code": "947062042",
"telephone_number": "510-981-4563",
"fax_number": "510-647-8160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1235 MARIN AVE STE D",
"city": "ALBANY",
"state": "CA",
"postal_code": "947062042",
"telephone_number": "510-981-4563",
"fax_number": "510-647-8160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAINER",
"first_name": "ELIZABETH",
"credential": "PH.D., PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-20",
"last_updated": "2013-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY 24894",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albany, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2013; 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.