Jessica McDonald, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY29854 Issued in CA

Practice address

617 S Olive St Ste 806
Los Angeles, CA 90014-1629

Phone

(213) 267-4363

NPI assigned

Feb 12, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1518393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518393600000",
    "number": "1023517422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6475 E PACIFIC COAST HWY # 159",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908034201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 S OLIVE ST STE 806",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900141629",
            "telephone_number": "213-267-4363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "JESSICA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-12",
        "last_updated": "2018-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY29854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Archelena Monique McDonald, LCSW
• Daishanay Deshay McDonald
• Daniella Nicole McDonald, MD, PHD
• George Ross McDonald
• Jenea McDonald
• John David McDonald II, DPT
• Kyla McDonald
• Mark McDonald, MD
• Melinda Eva McDonald
• Nancy McDonald, MFTI

• Psychologist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.