Individual provider Active NPI

Stanley G. Einhorn, PH.D.

  • Clinical Psychologist
  • Aptos, CA
National Provider Identifier
1427271329
Registry record updated Jul 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY13906 Issued in CA
Practice address
6233 Soquel Dr Ste E
Aptos, CA 95003-3184
Phone
(831) 359-5842
Fax
(831) 359-5842
NPI assigned
Apr 10, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2013

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 PSY13906 CA Primary

Addresses

Primary practice location

6233 Soquel Dr Ste E
Aptos, CA 95003-3184

Mailing address

6233 Soquel Dr Ste E
Aptos, CA 95003-3184
Phone (831) 359-5842

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
I20160523001493 CA Practitioner - Clinical Psychologist 5496044182 Practice locations: Aptos, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6233 Soquel Dr
Suite E
Aptos, CA 95003-3184
Phone (831) 359-5842

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY13906CAMDClinical Psychologist
13906CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Stanley G Einhorn PHD Clinical Past Accepting new patients

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": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374537600000",
    "number": "1427271329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6233 SOQUEL DR STE E",
            "city": "APTOS",
            "state": "CA",
            "postal_code": "950033184",
            "telephone_number": "831-359-5842",
            "fax_number": "831-359-5842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6233 SOQUEL DR STE E",
            "city": "APTOS",
            "state": "CA",
            "postal_code": "950033184",
            "telephone_number": "831-359-5842",
            "fax_number": "831-359-5842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EINHORN",
        "first_name": "STANLEY",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2013-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY13906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aptos, CA

Sources for this page

Verify at the official NPI Registry.