Polina Eidelman, PH.D. Psychology Corporation

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

POLINA EIDELMAN, PH.D. PSYCHOLOGY CORPORATION

Practice address

9340 Carmel Mountain Rd Ste E
San Diego, CA 92129-2161

Phone

(858) 926-7333

NPI assigned

Oct 3, 2025

Organization subpart

No

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

Authorized official

Name

Polina E Gingras, PHD

Title

Owner

Phone

(858) 926-7333

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Polina Eidelman, PH.D.

  • Clinical Psychologist
  • San Diego, CA
  • NPI 1972843977
  NPD

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

{
    "created_epoch": "1759449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759449600000",
    "number": "1710851464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9340 CARMEL MOUNTAIN RD STE E",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921292161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9340 CARMEL MOUNTAIN RD STE E",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921292161",
            "telephone_number": "858-926-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLINA EIDELMAN, PH.D. PSYCHOLOGY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-03",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A",
        "authorized_official_last_name": "GINGRAS",
        "authorized_official_first_name": "POLINA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-926-7333",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amelia Shamsi Polheber, FNP-BC
• Matthew Poliakoff, D.O
• Raymond M. Poliakoff, MD
• Michelle Ann Polich, M.D.
• Patricia Polikoff, PHARM.D.
• Serita Polinaire
• John Poling II, R.N.
• Polinsky Children's Center
• Polinsky Day Rehabilitation
• Dorothy Ann Polinsky, OTR

• Clinical Psychologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.