Active NPI
Neil B Steinberg, PH.D.
- Psychologist
- Sebastopol, CA
National Provider Identifier
1518014059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY5136
- Practice address
- 874 Gravenstein Highway South
Sebastopol, CA 95472-4122 - Phone
- (707) 874-2409
- NPI assigned
- Jan 5, 2007
- Last updated
- Jul 21, 2022
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY5136 | CA | Primary |
Addresses
Primary practice location
874 Gravenstein Highway South
Sebastopol, CA 95472-4122
Mailing address
874 Gravenstein Highway South
Sebastopol, CA 95472-4122
Phone (707) 874-2409
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040401001570 | CA | Practitioner - Clinical Psychologist | 9537151196 | Practice locations: Occidental, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
17029 Jennifer Dr
Occidental, CA 95465-9326
Phone (707) 874-2409
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY5136 | CA | MD | Psychologist |
| 5136 | CA | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1518014059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "874 GRAVENSTEIN HIGHWAY SOUTH",
"city": "SEBASTOPOL",
"state": "CA",
"postal_code": "954724122",
"telephone_number": "707-874-2409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "874 GRAVENSTEIN HIGHWAY SOUTH",
"city": "SEBASTOPOL",
"state": "CA",
"postal_code": "954724122",
"telephone_number": "707-874-2409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEINBERG",
"first_name": "NEIL",
"middle_name": "B",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-05",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY5136",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sebastopol, CA
- Speech Language and Learning Services of Northern California, LLC
- Sage Staggs, L.AC.
- Tina Stanley, L.C.S.W.
- Caitlin Steele, LCSW
- Erika Steffe, MD
- Stephen Pinsk, M.D., Inc. (Pathology Services)
- Stephen Pinsk, M.D., Inc. (Pathology Services)
- Stephen Zilber, Lac, PC (Allergy Relief Center of Sonoma County)
- Steven P Lenschmidt, LLC (Sebastopol Convalescent Hospital)
- Steven P. Lenschmidt LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.