Individual provider · Type 1 NPI

Jaime Nisenbaum, PhD

Psychologist · San Rafael, CA

NPI number 1902114523 Active

Practice location

711 D St Ste 201
San Rafael, CA 94901-3704

Call (415) 516-0797 Map

Mailing address

1 Longview Ave
San Anselmo, CA 94960-2325

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000XPSY 23623 (CA)
Clinical Psychologist 103TC0700XPSY 23623 (CA)
Counseling Psychologist 103TC1900XPSY 23623 (CA)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1902114523

Jaime Nisenbaum, PhD's National Provider Identifier is 1902114523, issued on Sep 16, 2010. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in San Rafael, CA. The record was last updated on Sep 16, 2010.