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

Emanuel Maidenberg, PHD

Individual provider Clinical Psychologist · NPI 1154354694

Emanuel Maidenberg, PHD is a Clinical Psychologist in Los Angeles, California. Qualified in 1991, 35 years ago. Practices with Uc Regents, a 147-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
35
Licensed in
CA
In the registry since
2006
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

300 Medical Plz
Los Angeles, CA 90095-0001
Phone: (310) 825-9989
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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 PSY14789 (CA)
Psychologist Taxonomy 103T00000X · Licence PSY14789 (CA)

Record details

NPI number1154354694
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedJuly 8, 2006
Last updated in NPPESJuly 17, 2024
Certification dateJuly 17, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Group practice Uc Regents — 147 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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