Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jacob Andrew Eide, PSYD

Individual provider Clinical Psychologist · NPI 1760701023

Dr. Jacob Andrew Eide, PSYD is a Clinical Psychologist in Mammoth Lakes, California. Qualified in 2004, 22 years ago. Practices with Southern Mono Health Care District, a 94-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
22
Licensed in
CA
In the registry since
2010
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

85 Sierra Park Rd
Mammoth Lakes, CA 93546
Phone: (760) 924-4333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 858 S Barlow Ln, Bishop, CA 93514-3144 — (206) 407-7930

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY27059 (CA)

Record details

NPI number1760701023
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorNo
NPI enumeratedMay 26, 2010
Last updated in NPPESJanuary 27, 2026
Certification dateJanuary 27, 2026
Mailing address858 S Barlow Ln, Bishop, CA 93514-3144

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Southern Mono Health Care District — 94 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Mammoth Lakes