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

Dr. Natalie Elvita Kurniadi, PHD

Individual provider Clinical Neuropsychologist · NPI 1477808137

Dr. Natalie Elvita Kurniadi, PHD is a Clinical Psychologist in San Diego, California. Qualified in 2019, 7 years ago. Practices with Pacific Neurobehavioral Clinic Inc, a 9-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
7
Licensed in
CA
In the registry since
2012
Specialties on file
2
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

3990 Old Town Ave Ste C303
San Diego, CA 92110-2932
Phone: (858) 964-0722
Fax: (866) 437-0375
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 29122 Ranch Viejo Dr., San Juan Capistrano, CA 92675 — (858) 693-3113

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence PSY32552 (CA)
Clinical Neuropsychologist Taxonomy 103G00000X · Licence 32552 (CA)

Record details

NPI number1477808137
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedJuly 19, 2012
Last updated in NPPESFebruary 12, 2026
Certification dateFebruary 12, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Pacific Neurobehavioral Clinic Inc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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