Jolene Acosta, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

28700 N. Bonquet Canyon Road
Saugus, CA 91350-0003

Phone

(661) 296-8500

Fax

(661) 296-7946

NPI assigned

Nov 18, 2010

Sex

Female

Sole proprietor

Yes

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, last updated by the provider on Nov 18, 2010.

{
    "created_epoch": "1290038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290038400000",
    "number": "1295037554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28700 N. BONQUET CANYON ROAD",
            "city": "SAUGUS",
            "state": "CA",
            "postal_code": "913500003",
            "telephone_number": "661-296-8500",
            "fax_number": "661-296-7946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28700 N. BONQUET CANYON ROAD",
            "city": "SAUGUS",
            "state": "CA",
            "postal_code": "913500003",
            "telephone_number": "661-296-8500",
            "fax_number": "661-296-7946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACOSTA",
        "first_name": "JOLENE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-18",
        "last_updated": "2010-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nasir Ahmed
• Faith Ahn, M.S.
• Alexki Kossi, DDS Inc.
• Alexis Arturo Alvarado, RCP
• American Current Care of California, a Medical Corporation

• All providers in Saugus, CA
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2010; 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.