Organization Active NPI

JPL Mental Health

  • Psychiatry Physician
  • Panorama City, CA
National Provider Identifier
1265011001
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
JPL MENTAL HEALTH
Practice address
14860 Roscoe Blvd Ste 304
Panorama City, CA 91402-4695
Phone
(949) 246-9750
Fax
(906) 254-3118
NPI assigned
Apr 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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

Authorized official

Name
Dr. Jason P Lee, MDNPI 1487188629
Title
Psychiatrist
Phone
(747) 999-5313

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

14860 Roscoe Blvd Ste 304
Panorama City, CA 91402-4695

Mailing address

14860 Roscoe Blvd Ste 304
Panorama City, CA 91402-4695
Phone (949) 246-9750

Other practice location 1

225 S Reeves Dr Apt 2
Beverly Hills, CA 90212-4050
Phone (747) 999-5313

National Provider Directory

National Provider Directory

Locations

11770 Warner Ave
Ste 224
Fountain Valley, CA 92708

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672790400000",
    "number": "1265011001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14860 ROSCOE BLVD STE 304",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914024695",
            "telephone_number": "949-246-9750",
            "fax_number": "906-254-3118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14860 ROSCOE BLVD STE 304",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914024695",
            "telephone_number": "949-246-9750",
            "fax_number": "906-254-3118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 S Reeves Dr Apt 2",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "CA",
            "postal_code": "902124050",
            "country_code": "US",
            "telephone_number": "747-999-5313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JPL MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-07",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "747-999-5313",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panorama City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.