National Provider Identifier Database

JACOB A EIDE, PSY.D. – NPI #1760701023
Clinical

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.


Contact Information

JACOB A EIDE, PSY.D.
85 SIERRA PARK RD
MAMMOTH LAKES, CA93546
Phone: 760-924-4333
Fax:
Website:
Specialty Taxonomy Code
* Clinical 103TC0700X

* Indicates primary specialty

NPI Profile & details for JACOB A EIDE

NPI Number 1760701023
Credentials PSY.D. (Doctor of Psychology)
Entity Individual
Enumeration date 05/26/2010
Last updated 01/27/2026 - About 4 months ago
Sole proprietor1 No
Identifiers
  • CA License #: PSY27059
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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