Jassica W John

Primary specialty

School PsychologistTaxonomy code 103TS0200X

Practice address

1413 Kinser Rd
Ceres, CA 95307-7291

Phone

(120) 940-9082

NPI assigned

Jun 15, 2022

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

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1235869892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 KINSER RD",
            "city": "CERES",
            "state": "CA",
            "postal_code": "953077291",
            "telephone_number": "209-409-0825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 KINSER RD",
            "city": "CERES",
            "state": "CA",
            "postal_code": "953077291",
            "telephone_number": "120-940-9082"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "730 N Central Ave",
            "address_purpose": "LOCATION",
            "city": "Tracy",
            "state": "CA",
            "postal_code": "953764104",
            "country_code": "US",
            "telephone_number": "209-409-0825",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 N Stanislaus St",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952022949",
            "country_code": "US",
            "telephone_number": "209-409-0825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHN",
        "first_name": "JASSICA",
        "middle_name": "W",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-15",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Deshawn Jackson
• Kenneth James, MD
• Lisa Marasti Jennings
• Andrew Jimenez
• Britney Jimenez
• Victor John
• Dennis Jerome Johnson
• Taylor Johnson
• Marie Joiner
• Dawn N Jones, R.A.S.

• School Psychologist in Ceres, CA
• Providers in Ceres, CA by specialty
• School Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.