Jeannette D Lobao, PSY.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY17419 Issued in CA

Practice address

1797 Fourth St
Livermore, CA 94550-4347

Phone

(925) 443-2500

Fax

(925) 443-0771

NPI assigned

Aug 9, 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

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, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Del Valle Clinic IncGroup PAC ID 2961539846, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Del Valle Clinic, Inc

  • Clinical Psychologist
  • Livermore, CA
  • NPI 1023028248
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323302400000",
    "number": "1285644492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1797 FOURTH ST",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945504347",
            "telephone_number": "925-443-2500",
            "fax_number": "925-443-0771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1797 FOURTH ST",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945504347",
            "telephone_number": "925-443-2500",
            "fax_number": "925-443-0771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOBAO",
        "first_name": "JEANNETTE",
        "middle_name": "D",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2011-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY17419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Livermore Optometry Group
• Livermore Primary Care Medical Associates, Inc.
• Livermore Primary Care Medical Associates, Inc.
• Livermore Valley Jusd
• Alicia April Lo, MD
• Marley D Locatelli, MA
• Heather Elizabeth Logsdon
• Linda Lollini
• Candice Michelle Long
• Longs Drug Stores California LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; 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.