Individual provider Active NPI

Janet L Meiselman, PSYD

  • Clinical Neuropsychologist
  • Burlingame, CA
National Provider Identifier
1457337925
Registry record updated Jun 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
22999 Issued in CA
Practice address
1137 Paloma Ave Apt E
Burlingame, CA 94010-3588
Phone
(650) 288-8810
NPI assigned
Dec 16, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 22999 CA Primary
Clinical Psychologist 103TC0700X 2623 CT

Addresses

Primary practice location

1137 Paloma Ave Apt E
Burlingame, CA 94010-3588

Mailing address

1137 Paloma Ave Apt E
Burlingame, CA 94010-3588
Phone (650) 288-8810

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
I20091020000140 CA Practitioner - Clinical Psychologist 5698720068 Practice locations: Half Moon Bay, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

680 Filbert St
Half Moon Bay, CA 94019-2112
Phone (650) 288-8810

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Masonicare Primary Care Physicians PastSince Oct 1, 2001 Accepting new patients
Masonicare Behavioral Health, LLC PastSince Dec 17, 2007 Accepting new patients
Benchmark Assisted Living LLC Past Accepting new patients
Samsonov M.D. Medical Corporation Past Accepting new patients
Siwood Inc Past Accepting new patients
Stanford Health Care Past Accepting new patients

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275436800000",
    "number": "1457337925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1137 PALOMA AVE APT E",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103588",
            "telephone_number": "650-288-8810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1137 PALOMA AVE APT E",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103588",
            "telephone_number": "650-288-8810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEISELMAN",
        "first_name": "JANET",
        "middle_name": "L",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-16",
        "last_updated": "2010-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "22999",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "2623",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlingame, CA

Sources for this page

Verify at the official NPI Registry.