Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Eric Jonathan Fitzmedrud, PHD

Individual provider Clinical Psychologist · NPI 1659400141

Dr. Eric Jonathan Fitzmedrud, PHD is a Clinical Psychologist in San Pablo, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

5636 Casino Ave
San Pablo, CA 94806-4232
Phone: (650) 814-7823
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY23669 (CA)

Record details

NPI number1659400141
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedMarch 2, 2007
Last updated in NPPESDecember 6, 2021
Certification dateNovember 29, 2021

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