Beth M Janis, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSB94024259 Issued in CA

Practice address

147 W Sierra Madre Blvd FL 2
Sierra Madre, CA 91024-2492

Phone

(626) 539-2001

NPI assigned

May 10, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Sep 20, 2022 through Sep 20, 2026

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1494374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537401600000",
    "number": "1144756396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 W SIERRA MADRE BLVD FL 2",
            "city": "SIERRA MADRE",
            "state": "CA",
            "postal_code": "910242492",
            "telephone_number": "626-539-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 W SIERRA MADRE BLVD FL 2",
            "city": "SIERRA MADRE",
            "state": "CA",
            "postal_code": "910242492",
            "telephone_number": "626-539-2001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2025 Gravier Street",
            "address_2": "7th floor",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "70112",
            "country_code": "US",
            "telephone_number": "858-705-0116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JANIS",
        "first_name": "BETH",
        "middle_name": "M",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-10",
        "last_updated": "2018-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSB94024259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deanna Marie Hudgins, LMFT
• Linda Hynes, MA, LMFT
• Heather Inouye
• Maged Iskarous
• Jacob Sidney Iwaszewski, M.S.
• Nicholas John Jauregui, M.D
• Melissa Jen, LCSW
• Yuwei Ji, RD, CNSC
• Agustin Raul Jimenez, BCBA
• Joan Hasibar Marriage and Family Therapy, Inc.

• Psychologist in Sierra Madre, CA
• Providers in Sierra Madre, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.