Jacob Andrew Eide, PSY.D.
Individual provider Active NPI Clinical Psychologist · Mammoth Lakes, CA
NPI 1760701023 · NPPES record last updated Jan 27, 2026
Key facts
- NPI
- 1760701023
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- PSY27059 (CA)
- Practice address
- 85 Sierra Park Rd
Mammoth Lakes, CA 93546 - Phone
- (760) 924-4333
- NPI assigned
- May 26, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southern Mono Health Care District
Practice addresses (Care Compare)
85 Sierra Park Rd
Mammoth Lakes, CA 93546-2073
Phone (760) 934-3311
PO Box
Suite 660
Mammoth Lakes, CA 93546-0660
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180201003192 | CA | Practitioner - Clinical Psychologist | 1850417171 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY27059 | CA | MD | Clinical Psychologist |
| 27059 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Mono Health Care District | Current |
Accepting new patients | |
| Action Potential Psychological Services, Inc. | Clinical | Past | Accepting new patients |
Interoperability endpoints
- mahojeide@mammothhospital.cernerdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY27059 | CA | Yes |
Addresses
Primary practice location
85 Sierra Park Rd
Mammoth Lakes, CA 93546
Mailing address
858 S Barlow LN
Bishop, CA 93514-3144
Phone (206) 407-7930
Other practice location 1
858 S Barlow Ln
Bishop, CA 93514-3144
Phone (206) 407-7930
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Mahojeide@mammothhospital.cernerdirect.com | Direct |
Other providers in Mammoth Lakes, CA
- Sheila Curry Donahue
- Kristen Anne Dorough
- Dr Maria M. King Inc
- Gabrielle Duhl
- Iris Duran
- Kim Escudero
- Sierra Farquhar
- Amanda J Feinberg
- France Jacqueline Fischer
- Sofia Carolina Flores
All providers in Mammoth Lakes, CA · Clinical Psychologist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.