Jacquelyn Renee McDonald, DSW, AMFT, APCC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

1096 Calimesa Blvd
Calimesa, CA 92320-1563

Phone

(909) 372-0683

NPI assigned

Mar 12, 2024

Last updated

Dec 4, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Jacquelyn Renee McDonald Professional name

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.

{
    "created_epoch": "1710201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1336907484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1134",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925641134",
            "telephone_number": "951-210-2142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1096 CALIMESA BLVD",
            "city": "CALIMESA",
            "state": "CA",
            "postal_code": "923201563",
            "telephone_number": "909-372-0683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "JACQUELYN",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "DSW, AMFT, APCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-12",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELYN",
            "last_name": "MCDONALD",
            "middle_name": "RENEE",
            "prefix": "DR.",
            "credential": "DSW, AMFT, APCC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• My Time Therapy Clinic Robbin S Caneva Licensed Clinical Social Wo (My Time Therapy Clinic)
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• Marriage & Family Therapist in Calimesa, CA
• Providers in Calimesa, 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 Dec 4, 2024; 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.