Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JAIME NISENBAUM, PH.D.
Active Sole ProprietorDR. JAIME NISENBAUM, PH.D. is a Psychologist healthcare provider located in SAN RAFAEL, California. NPI 1902114523 is currently active in the NPPES registry. Verify at CMS.
Psychologist · SAN RAFAEL, CA
Registration Details
- NPI Number
- 1902114523
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 16, 2010 (15.918647874773 yrs)
- Last Updated
- Sep 16, 2010
- Licenses
-
PSY 23623 (CA)PSY 23623 (CA)PSY 23623 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
711 D ST STE 201SAN RAFAEL, CA, 949013704Browse CA providers · Browse ZIP 94901
- Phone
- 4155160797
- Primary Specialty
-
Psychologist
103T00000X
- Additional Specialty
- Clinical Psychologist
- Additional Specialty
- Counseling Psychologist
Other Psychologist Providers in SAN RAFAEL, CA
| Name | Credential | NPI |
|---|---|---|
| DR. GARY STOLZOFF | PHD | 1477578516 |
| DR. ANN GOLD BUSCHO | PH.D. | 1033135942 |
| MICHELINA GAUTIERI | PSY.D. | 1841211976 |
| DR. JOHN WEIR | PH.D. | 1306868518 |
| DR. MARJORIE GANS WALTERS | PHD | 1992719710 |
| DR. ANESSA YVONNA LARSON | PSY.D. | 1730288291 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.