Individual provider Active NPI

Margaret Mullaly Nemirow, PH.D.

  • Psychologist
  • Berkeley, CA
National Provider Identifier
1720066863
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY7773 Issued in CA
Practice address
917 The Alameda
Berkeley, CA 94707-2301
Phone
(510) 524-2082
Fax
(510) 898-1254
NPI assigned
Jan 9, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY7773 CA Primary

Addresses

Primary practice location

917 The Alameda
Berkeley, CA 94707-2301

Mailing address

917 The Alameda
Berkeley, CA 94707-2301
Phone (510) 524-2082

Other identifiers 1

IdentifierTypeStateIssuer
00PL77730MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 1, 2013 through Jul 1, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY7773CAMDPsychologist
7773CAMDSpeech-Language Assistant

NPI Registry JSON

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1720066863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 THE ALAMEDA",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947072301",
            "telephone_number": "510-524-2082",
            "fax_number": "510-898-1254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 THE ALAMEDA",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947072301",
            "telephone_number": "510-524-2082",
            "fax_number": "510-898-1254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEMIROW",
        "first_name": "MARGARET",
        "middle_name": "MULLALY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY7773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00PL77730",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

Verify at the official NPI Registry.