Jaime Elizabeth Medvene, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY13740 Issued in CA

Practice address

17337 Ventura Blvd
Suite 200
Encino, CA 91316-3903

Phone

(818) 981-7845

Fax

(818) 981-7849

NPI assigned

Jun 22, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Clinical Psychologist

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Jaime Elizabeth Medvene PHD a Professional Psychological CorporaGroup PAC ID 7911063201, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Philosophy

State licenses

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.

• Jaime Elizabeth Medvene PHD a Professional Psychological Corpora

  • Clinical Psychologist
  • Agoura Hills, CA
  • NPI 1306084272
  Medicare reassignment Care Compare group Authorized official

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585267200000",
    "number": "1265478754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30200 AGOURA RD",
            "address_2": "STE 200",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913015433",
            "telephone_number": "818-981-7845",
            "fax_number": "818-981-7849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17337 VENTURA BLVD",
            "address_2": "SUITE 200",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163903",
            "telephone_number": "818-981-7845",
            "fax_number": "818-981-7849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDVENE",
        "first_name": "JAIME",
        "middle_name": "ELIZABETH",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2020-03-27",
        "certification_date": "2020-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY13740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PSY137401",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Medlight Home Health Care Inc.
• Medlight Hospice Inc.
• Hagit Medovoi, OTR
• Leslie Yesenia Medrano, SPA
• Medultrasound
• Ann Meehan
• Neda Mehrabani, DC/LAC
• Yousef Mehrabi, M.D
• Mehran Nowfar-Rad, M.D., Inc.
• Mehta Meyer Chiropractic

• Clinical Psychologist in Encino, CA
• Providers in Encino, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.