Individual provider Active NPI

Jessica Oye-Trautloff, PSYD

  • Clinical Psychologist
  • San Diego, CA
National Provider Identifier
1174930283
Registry record updated Jan 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY31572 Issued in CA
Practice address
402 W Broadway Ste 1925
San Diego, CA 92101-8505
Phone
(858) 461-8408
NPI assigned
Jul 21, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY31572 CA Primary

Addresses

Primary practice location

402 W Broadway Ste 1925
San Diego, CA 92101-8505

Mailing address

402 W Broadway Ste 1925
San Diego, CA 92101-8505

Other names 1

  • Jessica Oye Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.therapynotes.com Dr. Emily N. Kierce, Psychologist, A Professional Corporation

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210215000724 CA Practitioner - Clinical Psychologist 0648681684 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3150 El Camino Real
Suite E
Carlsbad, CA 92008-2110
Phone (858) 461-8408

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY31572CAMDClinical Psychologist

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": "1405900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1174930283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 W BROADWAY STE 1925",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921018505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 W BROADWAY STE 1925",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921018505",
            "telephone_number": "858-461-8408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OYE-TRAUTLOFF",
        "first_name": "JESSICA",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-21",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY31572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.therapynotes.com",
            "affiliation": "Y",
            "affiliationName": "Dr. Emily N. Kierce, Psychologist, A Professional Corporation",
            "address_1": "402 W Broadway Ste 1925",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921018505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "OYE",
            "credential": "PSYD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.