Active NPI
Dana Tal Jebreel, PSYD
- Clinical Psychologist
- Beverly Hills, CA
National Provider Identifier
1215588983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 31161
- Practice address
- 450 N Bedford Dr Ste 204
Beverly Hills, CA 90210-4306 - Phone
- (310) 598-3898
- NPI assigned
- Sep 24, 2019
- Last updated
- Sep 24, 2019
- 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 | 31161 | CA | Primary |
Addresses
Primary practice location
450 N Bedford Dr Ste 204
Beverly Hills, CA 90210-4306
Mailing address
5214 Yolanda Ave
Tarzana, CA 91356-4015
Phone (310) 500-9610
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31161 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569283200000",
"number": "1215588983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5214 YOLANDA AVE",
"city": "TARZANA",
"state": "CA",
"postal_code": "913564015",
"telephone_number": "310-500-9610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 N BEDFORD DR STE 204",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902104306",
"telephone_number": "310-598-3898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEBREEL",
"first_name": "DANA",
"middle_name": "TAL",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-24",
"last_updated": "2019-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "31161",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beverly Hills, CA
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.