Individual provider Active NPI

Mark Steinberg

  • Clinical Neuropsychologist
  • Los Gatos, CA
National Provider Identifier
1518232644
Registry record updated Mar 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PSY12170 Issued in CA
Practice address
14601 S Bascom Ave
Ste. 250
Los Gatos, CA 95032-2043
Phone
(408) 356-1002
NPI assigned
Mar 22, 2012
Last updated
Mar 22, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PSY12170 CA Primary

Addresses

Primary practice location

14601 S Bascom Ave
Ste. 250
Los Gatos, CA 95032-2043

Mailing address

14601 S Bascom Ave
Ste. 250
Los Gatos, CA 95032-2043
Phone (408) 356-1002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120412000727 CA Practitioner - Psychologist Billing Independently 6204097587 Reassigns benefits to 1 organization
Practice locations: Redwood City, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1981
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

968 R Woodside Rd
Redwood City, CA 94061-3611
Phone (408) 356-1002

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY12170CAMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
James Petros, M.D., Inc. CurrentSince Jul 7, 2025 Accepting new patients
James Petros, M.D., Inc. Current Accepting new patients
James Petros, M.D., Inc. CurrentSince Jul 7, 2025 Accepting new patients

Locations

14777 Los Gatos Blvd
Ste 202
Los Gatos, CA 95032
Phone (408) 784-7515

1604 Blossom Hill Rd
Ste 10
San Jose, CA 95124
Phone 4085288833605

433 Estudillo Ave
Ste 305
San Leandro, CA 94577
Phone (510) 614-5641

Organizations & group practices 3

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": "1332374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332374400000",
    "number": "1518232644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14601 S BASCOM AVE",
            "address_2": "STE. 250",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322043",
            "telephone_number": "408-356-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14601 S BASCOM AVE",
            "address_2": "STE. 250",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322043",
            "telephone_number": "408-356-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEINBERG",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-22",
        "last_updated": "2012-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY12170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.