Individual provider Active NPI

Lorie Muellenbach

  • Clinical Psychologist
  • Alameda, CA
National Provider Identifier
1679009153
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY33283 Issued in CA
Practice address
3423 Catalina Ave
Alameda, CA 94502-7032
Phone
(510) 846-7820
NPI assigned
May 3, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X PSY33283 CA
Clinical Psychologist 103TC0700X PSY33283 CA Primary

Addresses

Primary practice location

3423 Catalina Ave
Alameda, CA 94502-7032

Mailing address

3423 Catalina Ave
Alameda, CA 94502-7032
Phone (510) 846-7820

Other identifiers 1

IdentifierTypeStateIssuer
00OtherCA00

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20251205000999 CA Practitioner - Clinical Psychologist 1456844604 Reassigns benefits to 1 organization
I20260623004412 AZ Practitioner - Clinical Psychologist 1456844604 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sailor Health Medical PAGroup PAC ID 4486182342, 301 clinicians

Practice addresses (Care Compare)

Buckeye, AZ 85396
Phone (240) 201-3386

3423 Catalina Ave
Alameda, CA 94502-7032
Phone (510) 846-7820

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY33283CAMDClinical Child & Adolescent Psychologist
33283CAMDLicensed Psychiatric Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Lorie J Muellenbach Company Inc Clinical CurrentSince Oct 17, 2025 Accepting new patients
Options Recovery Services Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1493769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1679009153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3423 CATALINA AVE",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945027032",
            "telephone_number": "510-846-7820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3423 CATALINA AVE",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945027032",
            "telephone_number": "510-846-7820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUELLENBACH",
        "first_name": "LORIE",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-03",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CA",
            "license": "PSY33283",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY33283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "00",
            "identifier": "00",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alameda, CA

Sources for this page

Verify at the official NPI Registry.