Jesse Ryan Bashem, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY30607 Issued in CA

Practice address

4000 Macarthur Blvd Ste 600
Newport Beach, CA 92660-2517

Phone

(949) 899-2301

NPI assigned

Mar 9, 2019

Last updated

Jul 7, 2022By the provider in NPPES

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

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.

• Dr. Jesse Bashem & Associates Comprehensive Psychological Services Inc

  • Clinical Psychologist
  • Moorpark, CA
  • NPI 1730837535
  NPD Authorized official

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

{
    "created_epoch": "1552089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1326506221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 194",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930200194",
            "telephone_number": "949-899-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 MACARTHUR BLVD STE 600",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602517",
            "telephone_number": "949-899-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASHEM",
        "first_name": "JESSE",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-09",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY30607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Barton
• Ciera Michelle Barton, GED
• Evangelos Bartsokas, D.D.S.
• Hany Gabar Bashandy, MD
• Wally Bashawaty, DDS
• Bashnona Inc
• Basic on-Call, LLC
• Ruth Warner Bass, MS, CCC-SLP
• Jeffrey C. Bassett, M.D., M.P.H.
• Nikhil Singh Bassi, M.D.

• Clinical Psychologist in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; 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.