Individual provider Active NPI

Nina Singh, PHD

  • Clinical Psychologist
  • Palo Alto, CA
National Provider Identifier
1568203206
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35067 Issued in CA
Practice address
3790 El Camino Real # 1258
Palo Alto, CA 94306-3314
Phone
(650) 468-0585
NPI assigned
Jun 5, 2024
Last updated
Jun 14, 2024By the provider in NPPES
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 35067 CA
Adult Development & Aging Psychologist 103TA0700X
Clinical Psychologist 103TC0700X 35067 CA Primary
Family Psychologist 103TF0000X 35067 CA
Health Psychologist 103TH0004X 35067 CA

Addresses

Primary practice location

3790 El Camino Real # 1258
Palo Alto, CA 94306-3314

Mailing address

3790 El Camino Real # 1258
Palo Alto, CA 94306-3314
Phone (650) 468-0585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Previously, effective Oct 12, 2024 through Oct 12, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
35067CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Inclusive Health Psychology, a Professional Corporation Psychologist Current Accepting new patients

Locations

3790 El Camino Real
Palo Alto, CA 94306
Phone (650) 454-7094

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": "1717545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1568203206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3790 EL CAMINO REAL # 1258",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943063314",
            "telephone_number": "650-468-0585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3790 EL CAMINO REAL # 1258",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943063314",
            "telephone_number": "650-468-0585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINGH",
        "first_name": "NINA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "U",
        "enumeration_date": "2024-06-05",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "35067",
            "primary": false
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "35067",
            "primary": true
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "CA",
            "license": "35067",
            "primary": false
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "CA",
            "license": "35067",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

Verify at the official NPI Registry.