Individual provider Active NPI

Neda Cynthia Raymond, PH.D.

  • Clinical Psychologist
  • Palo Alto, CA
National Provider Identifier
1952646929
Registry record updated Dec 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY-1366 Issued in HI
Practice address
3801 Miranda Ave
Psychology Service (116B/Pad), VA Palo Alto HCS
Palo Alto, CA 94304-1207
Phone
(702) 496-6221
NPI assigned
Dec 3, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY-1366 HI Primary

Addresses

Primary practice location

3801 Miranda Ave
Psychology Service (116B/Pad), VA Palo Alto HCS
Palo Alto, CA 94304-1207

Mailing address

3801 Miranda Ave
Psychology Service (116B/Pad), VA Palo Alto HCS
Palo Alto, CA 94304-1207
Phone (702) 496-6221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171020001545 CA Practitioner - Clinical Psychologist 0143596056 Reassigns benefits to 2 organizations
Practice locations: Los Gatos, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Silicon Valley AssessmentGroup PAC ID 4486910437, 3 clinicians
Momentous Health IncGroup PAC ID 4082060330, 5 clinicians

Practice addresses (Care Compare)

15100 Los Gatos Blvd
Suite 3
Los Gatos, CA 95032-2028
Phone (408) 827-5699

337 Adeline Ave
San Jose, CA 95136-4875
Phone (800) 679-1730

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY-1366HIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Silicon Valley Assessment CurrentSince Sep 26, 2017 Accepting new patients
Momentous Health Inc CurrentSince Apr 23, 2025 Accepting new patients

Locations

15100 Los Gatos Blvd
Ste 3
Los Gatos, CA 95032
Phone (408) 827-5699

15814 Winchester Blvd
Ste 105
Los Gatos, CA 95030
Phone (408) 827-5699

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1354492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354492800000",
    "number": "1952646929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 MIRANDA AVE",
            "address_2": "PSYCHOLOGY SERVICE (116B/PAD), VA PALO ALTO HCS",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041207",
            "telephone_number": "702-496-6221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 MIRANDA AVE",
            "address_2": "PSYCHOLOGY SERVICE (116B/PAD), VA PALO ALTO HCS",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041207",
            "telephone_number": "702-496-6221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYMOND",
        "first_name": "NEDA",
        "middle_name": "CYNTHIA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-03",
        "last_updated": "2012-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "PSY-1366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

Verify at the official NPI Registry.