Jacob Feiner Engelskirger, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY31090 Issued in CA

Practice address

305 Velocity Way
Foster City, CA 94404-4803

Phone

(650) 524-0820

NPI assigned

Mar 5, 2018

Last updated

Aug 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Premise Health of California Medical PC

  dba Be Well Clinic powered by Premise Health

  • Multi-Specialty Clinic/Center
  • Foster City, CA
  • NPI 1508435751
  NPD

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

{
    "created_epoch": "1520208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1780186817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6545",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945016545",
            "telephone_number": "510-343-3567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 VELOCITY WAY",
            "city": "FOSTER CITY",
            "state": "CA",
            "postal_code": "944044803",
            "telephone_number": "650-524-0820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2719 Encinal Ave # A3",
            "address_purpose": "LOCATION",
            "city": "Alameda",
            "state": "CA",
            "postal_code": "945014784",
            "country_code": "US",
            "telephone_number": "510-343-3567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENGELSKIRGER",
        "first_name": "JACOB",
        "middle_name": "FEINER",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-05",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY31090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Duque, R.D
• Kimberly Elder, PPS
• Elie DDS Inc
• Omid Jonathan Elie, DDS
• Elyssa J Feinberg MD PC
• Stephanie Kay Erickson, OTD, OTR/L
• Laura Christine Esposito, ATC
• Miriam Etienne, DNP, FNP-BC
• Jaleena Fanuncio
• Bahareh Fatemi, DMD

• Clinical Psychologist in Foster City, CA
• Providers in Foster City, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.