Individual provider Active NPI

Andrea L Jamison, PH.D.

  • Clinical Psychologist
  • Midlothian, VA
National Provider Identifier
1134586548
Registry record updated Jan 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY24836 Issued in CA
Practice address
14321 Winter Breeze Dr Ste 198
Midlothian, VA 23113-2452
Phone
(424) 209-2029
NPI assigned
Jan 15, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 0810009053 VA
Clinical Psychologist 103TC0700X PSY24836 CA Primary

Addresses

Primary practice location

14321 Winter Breeze Dr Ste 198
Midlothian, VA 23113-2452

Mailing address

5665 Wilshire Blvd # 1164
Los Angeles, CA 90036-3710
Phone (424) 209-2029

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 23, 2025 through Dec 23, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY24836CAMDClinical Psychologist
0810009053VAMDClinical Psychologist
24836CAMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Sleep Psychology of California Inc. Clinical Current Accepting new patients

Locations

14321 Winter Breeze Dr
#198
Midlothian, VA 23113
Phone (424) 209-2029

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.

NPI Registry JSON

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

{
    "created_epoch": "1452816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767484800000",
    "number": "1134586548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5665 WILSHIRE BLVD # 1164",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900363710",
            "telephone_number": "424-209-2029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14321 WINTER BREEZE DR STE 198",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231132452",
            "telephone_number": "424-209-2029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMISON",
        "first_name": "ANDREA",
        "middle_name": "L",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-15",
        "last_updated": "2026-01-04",
        "certification_date": "2026-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810009053",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY24836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

Verify at the official NPI Registry.