Individual provider Active NPI

Jarline Ann Ketola, PH.D.

  • Psychologist
  • Torrance, CA
National Provider Identifier
1083776173
Registry record updated Mar 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY14457 Issued in CA
Practice address
24586 Hawthorne Blvd
#103
Torrance, CA 90505-6857
Phone
(310) 541-6145
NPI assigned
Dec 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY14457 CA Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X 215972 CA

Addresses

Primary practice location

24586 Hawthorne Blvd
#103
Torrance, CA 90505-6857

Mailing address

5016 Macafee Rd
Torrance, CA 90505-4331
Phone (310) 541-6145

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY14457CAMDPsychologist
215972CAMDPsychiatric/Mental Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236211200000",
    "number": "1083776173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5016 MACAFEE RD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054331",
            "telephone_number": "310-541-6145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24586 HAWTHORNE BLVD",
            "address_2": "#103",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905056857",
            "telephone_number": "310-541-6145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KETOLA",
        "first_name": "JARLINE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2009-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY14457",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CA",
            "license": "215972",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2009; 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.