Individual provider Active NPI

Jacquelyn Ashley Corvan Helmer, PHD

  • Clinical Psychologist
  • La Mesa, CA
National Provider Identifier
1255820221
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY28014 Issued in CA
Practice address
5360 Jackson Dr Ste 220-C
La Mesa, CA 91942-6002
Phone
(619) 439-8479
Fax
(619) 916-2457
NPI assigned
May 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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 PSY28014 CA Primary

Addresses

Primary practice location

5360 Jackson Dr Ste 220-C
La Mesa, CA 91942-6002

Mailing address

5360 Jackson Dr Ste 220-C
La Mesa, CA 91942-6002
Phone (619) 439-8479

Other names 1

  • Dr. Jacquelyn Corvan Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 12, 2026 through May 12, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY28014CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr John Helmer Psychologist Apc Clinical PastSince Oct 31, 2021 Accepting new patients

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": "1525478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1255820221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5360 JACKSON DR STE 220-C",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919426002",
            "telephone_number": "619-439-8479",
            "fax_number": "619-916-2457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5360 JACKSON DR STE 220-C",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919426002",
            "telephone_number": "619-439-8479",
            "fax_number": "619-916-2457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORVAN HELMER",
        "first_name": "JACQUELYN",
        "middle_name": "ASHLEY",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-05",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY28014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELYN",
            "last_name": "CORVAN",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in La Mesa, CA

Sources for this page

Verify at the official NPI Registry.