Jessica Jamile Faragallah, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY36650 Issued in CA

Practice address

31194 La Baya Dr Ste 100
Westlake Village, CA 91362-6420

Phone

(805) 242-2429

NPI assigned

Dec 29, 2023

Sex

Female

Sole proprietor

No

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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

• California Healing Horizons

  • Clinic/Center
  • Riverside, CA
  • NPI 1932930120
  NPD
• Illuminating Psychological Services Corporation

  • Counseling Psychologist
  • Riverside, CA
  • NPI 1861090441
  NPD
• Pacific Coast Psychology Group, Inc.

  • Psychologist
  • Westlake Village, CA
  • NPI 1932647468

  Clinical

  NPD (past)

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

{
    "created_epoch": "1703808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1346019478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31194 LA BAYA DR STE 100",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913626420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31194 LA BAYA DR STE 100",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913626420",
            "telephone_number": "805-242-2429"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9246 Lightwave Ave Ste 120",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921236411",
            "country_code": "US",
            "telephone_number": "800-270-5016",
            "fax_number": "800-680-3626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARAGALLAH",
        "first_name": "JESSICA",
        "middle_name": "JAMILE",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-29",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY36650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fahradyan Plastic Surgery
• Artur Fahradyan, MD
• Family in Sync
• Sewasew Fantaye
• Akinshola Fanu
• Kaili Samantha Farhat, ACSW
• Sofia Farid, MA
• Elinor Sally Farnad
• Audrey Elizabeth Farnsworth
• Valerie Kim Farrelly

• Clinical Psychologist in Westlake Village, CA
• Providers in Westlake Village, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.