Individual provider Active NPI

Amanda B Feinstein, PHD

  • Clinical Psychologist
  • Menlo Park, CA
National Provider Identifier
1437671096
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
28284 Issued in CA
Practice address
321 Middlefield Rd Ste 225
Menlo Park, CA 94025-4010
Phone
(650) 736-3494
NPI assigned
Jul 14, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 28284 CA Primary

Addresses

Primary practice location

321 Middlefield Rd Ste 225
Menlo Park, CA 94025-4010

Mailing address

321 Middlefield Rd Ste 225
Menlo Park, CA 94025-4010
Phone (650) 736-3494

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20240716002888 GA Order and Referring Only - Clinical Psychologist 7113298530

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28284CAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1499990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1437671096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 MIDDLEFIELD RD STE 225",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254010",
            "telephone_number": "650-736-3494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 MIDDLEFIELD RD STE 225",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254010",
            "telephone_number": "650-736-3494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEINSTEIN",
        "first_name": "AMANDA",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-14",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "28284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menlo Park, CA

Sources for this page

Verify at the official NPI Registry.