Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jaime Nisenbaum, PHD

Individual provider Psychologist · NPI 1902114523

Dr. Jaime Nisenbaum, PHD is a Psychologist in San Rafael, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2010
Specialties on file
3
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

711 D St Ste 201
San Rafael, CA 94901-3704
Phone: (415) 516-0797
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence PSY 23623 (CA)
Clinical Psychologist Taxonomy 103TC0700X · Licence PSY 23623 (CA)
Counseling Psychologist Taxonomy 103TC1900X · Licence PSY 23623 (CA)

Record details

NPI number1902114523
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedSeptember 16, 2010
Last updated in NPPESSeptember 16, 2010

Other providers in San Rafael