John Elliott Jervis

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC39484 Issued in CA

Practice address

140 B St Ste 6G
Davis, CA 95616-4589

Phone

(530) 219-5117

NPI assigned

Sep 5, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• John Elliott Jervis Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1316131063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4363 MAHOGANY LN",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956186081",
            "telephone_number": "530-219-5117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 B ST STE 6G",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956164589",
            "telephone_number": "530-219-5117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2727 Del Rio Pl",
            "address_2": "Suite C",
            "address_purpose": "LOCATION",
            "city": "Davis",
            "state": "CA",
            "postal_code": "956187729",
            "country_code": "US",
            "telephone_number": "530-219-5117",
            "fax_number": "530-738-4239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JERVIS",
        "first_name": "JOHN",
        "middle_name": "ELLIOTT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-05",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC39484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHN",
            "last_name": "JERVIS",
            "middle_name": "ELLIOTT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Maria Isabel Josefina Javier
• Margaret Elizabeth Jeffrey, M.S., LMFT
• Morgan Lee Jenkins
• Mary Pamela Jenne, LMFT
• Dorje Morgan Jennette, PSY.D.
• Valencia Jewell
• Cynthia L Jewett, LM CPM
• Rohan Jialal
• Carolyn Alyce Jiang, DO
• Jeffrey Jilk

• Marriage & Family Therapist in Davis, CA
• Providers in Davis, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.