Individual provider Active NPI

Jennifer Marie Reed, PH.D.

  • Clinical Psychologist
  • Escondido, CA
National Provider Identifier
1184858250
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY 22559 Issued in CA
Practice address
1121 E Washington Ave
Escondido, CA 92025-2214
Phone
(760) 871-0606
NPI assigned
May 5, 2009
Last updated
Nov 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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 PSY 22559 CA Primary

Addresses

Primary practice location

1121 E Washington Ave
Escondido, CA 92025-2214

Mailing address

1695 N Sunrise Way
Palm Springs, CA 92262-3701
Phone (760) 323-2118

Other practice location 1

13193 Central Ave
200
Chino, CA 91710-4179
Phone (909) 902-9111 ext. 108

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
I20090622000642 CA Practitioner - Clinical Psychologist 4981755527 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foothills Psychological Services IncGroup PAC ID 9436157534, 37 clinicians

Practice addresses (Care Compare)

954 W Foothill Blvd
Suite a
Upland, CA 91786-3782
Phone (909) 946-4222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY 22559CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dap Health Inc. Current Accepting new patients
Foothills Psychological Services, Inc. CurrentSince May 1, 2009 Accepting new patients
Dap Health, Inc. CurrentSince Aug 16, 2024 Accepting new patients
Dap Health, Inc. CurrentSince Aug 16, 2024 Accepting new patients

Locations

69175 Ramon Rd
#A
Cathedral Cty, CA 92234
Phone (760) 321-6776

13193 Central Ave
Ste 200
Chino, CA 91710
Phone (909) 902-9111

590 S Indian Hill Blvd
Claremont, CA 91711
Phone (909) 624-4511

1121 E Washington Ave
Escondido, CA 92025
Phone (760) 871-0606

1695 N Sunrise Way
Palm Springs, CA 92262
Phone (760) 325-9370

1550 N Park Ave
Pomona, CA 91768
Phone (909) 623-0791

9089 Base Line Rd
Ste 200
Rch Cucamonga, CA 91730
Phone (909) 480-3567

954 W Foothill Blvd
Ste A
Upland, CA 91786
Phone (909) 946-4222

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jreed717786@direct.ochin.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1241481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1184858250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1695 N SUNRISE WAY",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922623701",
            "telephone_number": "760-323-2118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 E WASHINGTON AVE",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920252214",
            "telephone_number": "760-871-0606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13193 Central Ave",
            "address_2": "200",
            "address_purpose": "LOCATION",
            "city": "Chino",
            "state": "CA",
            "postal_code": "917104179",
            "country_code": "US",
            "telephone_number": "909-902-9111 x108",
            "fax_number": "909-902-9199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REED",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-05",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 22559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

Verify at the official NPI Registry.