Active NPI
Julianne Donner Jameson, PHD
- Clinical Psychologist
- Covina, CA
National Provider Identifier
1114045945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY8547
- Practice address
- 750 Terrado PLZ
#49
Covina, CA 91723-3419 - Phone
- (626) 201-6643
- Fax
- (626) 967-3015
- NPI assigned
- Mar 27, 2007
- Sex
- Female
- Sole proprietor
- No
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 | PSY8547 | CA | Primary |
Addresses
Primary practice location
750 Terrado PLZ
#49
Covina, CA 91723-3419
Mailing address
750 Terrado Plaza
#40
Covina, CA 91723
Phone (626) 332-0556
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: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100920001078 | CA | Practitioner - Psychiatry | 8820113426 | Practice locations: Covina, CA |
| I20190820000180 | CA | Practitioner - Clinical Psychologist | 8820113426 | Practice locations: Covina, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
750 Terrado PLZ
Suite 104
Covina, CA 91723-3411
Phone (626) 201-6643
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY8547 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278547200000",
"number": "1114045945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 TERRADO PLAZA",
"address_2": "#40",
"city": "COVINA",
"state": "CA",
"postal_code": "91723",
"telephone_number": "626-332-0556",
"fax_number": "626-332-6587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 TERRADO PLZ",
"address_2": "#49",
"city": "COVINA",
"state": "CA",
"postal_code": "917233419",
"telephone_number": "626-201-6643",
"fax_number": "626-967-3015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMESON",
"first_name": "JULIANNE",
"middle_name": "DONNER",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-27",
"last_updated": "2010-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY8547",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2010; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.