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

Mary L. Eickmeyer, PSYD

Individual provider Clinical Psychologist · NPI 1528129814

Mary L. Eickmeyer, PSYD is a Clinical Psychologist in Cotati, California. Qualified in 2007, 19 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
19
Licensed in
CA
In the registry since
2006
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

See every abbreviation used in this directory →

Practice location Address checks out

8609 Lasker Ln
Cotati, CA 94931-5342
Phone: (707) 206-1039
Fax: (707) 540-6276
Show map & directions

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

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY23192 (CA)

Record details

NPI number1528129814
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorYes
NPI enumeratedDecember 12, 2006
Last updated in NPPESOctober 26, 2020
Certification dateOctober 26, 2020
Mailing address8609 Lasker Ln, Cotati, CA 94931-5342

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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