Jacob Feiner Engelskirger, PSYD
Individual provider Active NPI Clinical Psychologist · Foster City, CA
NPI 1780186817 · NPPES record last updated Aug 7, 2023
Key facts
- NPI
- 1780186817
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- PSY31090 (CA)
- Practice address
- 305 Velocity Way
Foster City, CA 94404-4803 - Phone
- (650) 524-0820
- NPI assigned
- Mar 5, 2018
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY31090 | CA | MD | Clinical Psychologist |
| 31090 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premise Health of California Medical PC | Current |
Accepting new patients |
Locations
305 Velocity Way
Foster City, CA 94404
Phone (650) 524-0820
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY31090 | CA | Yes |
Addresses
Primary practice location
305 Velocity Way
Foster City, CA 94404-4803
Mailing address
PO Box 6545
Alameda, CA 94501-6545
Phone (510) 343-3567
Other practice location 1
2719 Encinal Ave # A3
Alameda, CA 94501-4784
Phone (510) 343-3567
Other providers in Foster City, CA
- Richard Duque
- Kimberly Elder
- Elie DDS Inc
- Omid Jonathan Elie
- Elyssa J Feinberg MD PC
- Stephanie Kay Erickson
- Laura Christine Esposito
- Miriam Etienne
- Jaleena Fanuncio
- Bahareh Fatemi
All providers in Foster City, 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 Aug 7, 2023. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.