Active NPI
Janice Patricia Ferris, PH.D.
- Clinical Psychologist
- Santa Monica, CA
National Provider Identifier
1083849848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 14982
- Practice address
- 3101 Ocean Park Blvd Ste 100
Santa Monica, CA 90405-3029 - Phone
- (310) 804-1743
- Fax
- (424) 672-3223
- NPI assigned
- May 22, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 14982 | CA | Primary |
Addresses
Primary practice location
3101 Ocean Park Blvd Ste 100
Santa Monica, CA 90405-3029
Mailing address
3101 Ocean Park Blvd Ste 100
Santa Monica, CA 90405-3029
Phone (310) 804-1743
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140117000082 | CA | Practitioner - Clinical Psychologist | 1052549367 | Practice locations: Los Angeles, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David L Friedman MD a Professional Corporation | Psychologist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba The Friedman Psychiatric Medical Group
- Psychologist
- Culver City, CA
- NPI 1780911156
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622419200000",
"number": "1083849848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3101 OCEAN PARK BLVD STE 100",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904053029",
"telephone_number": "310-804-1743",
"fax_number": "424-672-3223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3101 OCEAN PARK BLVD STE 100",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904053029",
"telephone_number": "310-804-1743",
"fax_number": "424-672-3223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERRIS",
"first_name": "JANICE",
"middle_name": "PATRICIA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-22",
"last_updated": "2021-05-31",
"certification_date": "2021-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "14982",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.