DR. JACOB KAMINKER PHD
NPI 1700102977
Psychologist - Clinical in Berkeley, CA
NPI Status: Active since April 13, 2010
- Individual
- Male
- Psychologist
- Clinical
- Opted-Out Medicare
About JACOB KAMINKER
This page provides the complete NPI Profile along with additional information for Jacob Kaminker, a provider established in Berkeley, California with a medical specialization in Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1700102977 assigned on April 2010. The practitioner's primary taxonomy code is 103TC0700X with license number PSY 26445 (CA). The provider is registered as an individual and his NPI record was last updated 11 years ago.
- NPI
- 1700102977
- Provider Name
- DR. JACOB KAMINKER PHD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3036 REGENT ST BERKELEY, CA 94705
- Location Phone
- (510) 995-6358
- Mailing Address
- 3036 REGENT ST BERKELEY, CA 94705
- Mailing Phone
- (510) 995-6358
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-13-2010
- Last Update Date
- 07-08-2014
- Code Navigator
A clinical psychologist like Jacob Kaminker assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Jacob Kaminker opted out of Medicare effective on 04-01-2021 until 04-01-2025. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist Clinical
- Taxonomy Code
- 103TC0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- PSY 26445
- License State
- CA
- Taxonomy Description
- A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 103TC1900X | Behavioral Health & Social Service Providers | Psychologist | PSY 26445 (CA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| PSY 26445 | OTHER (01) | CA | LICENSED CLINICAL PSYCHOLOGIST |
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 04-01-2021
Opt-Out End Date: 04-01-2025
Eligible to Order and Refer? No
Reviews for DR. JACOB KAMINKER PHD
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 0 | 0 | 1 | 0 | 2 | 9 | 7 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 0 | 0 | 2 | 0 | 4 | 9 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 0 + 0 + 2 + 0 + 4 + 9 + 1 + 4 + 24 = 53 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 53 = 7 | 7 | ||||||||
The NPI number 1700102977 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 6 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1558378992 | DR. ROGER B MENDELSON MD Individual | Psychiatry & Neurology (Psychiatry) | 3036 REGENT ST BERKELEY, CA 94705 (510) 206-1213 |
| 1073887824 | RUTH BONNIE GLASER PH.D. Individual | Counselor (Professional) | 3036 REGENT ST BERKELEY, CA 94705 (510) 333-2367 |
| 1770615072 | KATHLEEN ANNE BOURNE PHD Individual | Psychologist (Clinical) | 3036 REGENT ST BERKELEY, CA 94705 (510) 295-7941 |
| 1023588217 | GREG E KAPLAN LMFT Individual | Marriage & Family Therapist | 3036 REGENT ST BERKELEY, CA 94705 (510) 214-6338 |
| 1487194627 | MS. JENNIFER LYNNE RANDT Individual | Marriage & Family Therapist | 3036 REGENT ST BERKELEY, CA 94705 (650) 219-5689 |
| 1932571114 | JORDAN ROSEN STERN LMFT Individual | Marriage & Family Therapist | 3036 REGENT ST BERKELEY, CA 94705 (818) 659-8723 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1700102977, enumerated in the NPI registry as an "individual" on April 13, 2010
The provider is located at 3036 Regent St Berkeley, Ca 94705 and the phone number is (510) 995-6358
The provider's speciality is Psychologist with taxonomy code 103TC0700X with a focus in Clinical
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
No, the provider signed an affidavit on April 01, 2021 to opt-out of the Medicare program. The provider is excluded from the Medicare program until April 01, 2025.
This NPI record was last updated on April 13, 2010. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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