Elizabeth Ann Jaquay, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

18672 Issued in CA

Practice address

11 Araby St
Palm Springs, CA 92264-9083

Phone

(949) 701-2806

NPI assigned

Dec 5, 2013

Last updated

Dec 5, 2013By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• KPC Global Medical Centers, Inc.

  dba Hemet Valley Healthcare Center

  • Skilled Nursing Facility
  • Hemet, CA
  • NPI 1184936023
  NPD (past)

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

{
    "created_epoch": "1386201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386201600000",
    "number": "1316378052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 ARABY ST",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922649083",
            "telephone_number": "949-701-2806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 ARABY ST",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922649083",
            "telephone_number": "949-701-2806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAQUAY",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-05",
        "last_updated": "2013-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "18672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James W Shaner M D a Medical Corporation
• Jami Woods DPH MD PC
• Peter Merrill Jamieson, M.D.
• Patricia Anne Janesh, PHD
• Janet Ihde MD Inc
• Cindy E Jara, PPS
• Cynthia Jaramillo
• Michael F Jardula, MD
• Gerardo Jauregui-Reynoso
• Ernest A Jeppsen, MD

• Psychologist in Palm Springs, CA
• Providers in Palm Springs, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2013; 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.