Individual provider Active NPI

Jenica Lanier

  • Clinical Psychologist
  • Vista, CA
National Provider Identifier
1013325653
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY32596 Issued in CA
Practice address
380 S Melrose Dr Ste 357
Vista, CA 92081-6641
Phone
(949) 385-1339
NPI assigned
Jul 28, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY32596 CA Primary

Addresses

Primary practice location

380 S Melrose Dr Ste 357
Vista, CA 92081-6641

Mailing address

380 S Melrose Dr Ste 357
Vista, CA 92081-6641
Phone (949) 385-1339

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220222001313 CA Practitioner - Clinical Psychologist 6002200862 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Del Sur HealthcareGroup PAC ID 1850827395, 61 clinicians

Practice addresses (Care Compare)

436 S Magnolia Ave
Suite 101
El Cajon, CA 92020-5219
Phone (760) 978-8596

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY32596CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Medical Associates, Inc. CurrentSince Feb 1, 2022 Accepting new patients
Del Sur Healthcare CurrentSince Mar 30, 2025 Accepting new patients
Lanier Psychological Services Inc Clinical CurrentSince Nov 19, 2023 Accepting new patients

Locations

436 S Magnolia Ave
Ste 101
El Cajon, CA 92020
Phone (760) 978-8596

2810 Camino del Rio S
Ste 102
San Diego, CA 92108
Phone (619) 299-1419

380 S Melrose Dr
Ste 357
Vista, CA 92081
Phone (949) 385-1339

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1406505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1013325653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 S MELROSE DR STE 357",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920816641",
            "telephone_number": "949-385-1339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 S MELROSE DR STE 357",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920816641",
            "telephone_number": "949-385-1339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANIER",
        "first_name": "JENICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-28",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY32596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

Verify at the official NPI Registry.