Active NPI
Jeffery Allan Newell
- Clinical Psychologist
- Long Beach, CA
National Provider Identifier
1346068632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY35264
- Practice address
- 3764 McNab Ave
Long Beach, CA 90808-2216 - Phone
- (510) 676-3297
- NPI assigned
- Sep 26, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | PSY35264 | CA | |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | PSY35264 | CA | |
| Adult Mental Health Clinic/Center | 261QM0850X | PSY35264 | CA | |
| Clinical Psychologist | 103TC0700X | PSY35264 | CA | Primary |
Addresses
Primary practice location
3764 McNab Ave
Long Beach, CA 90808-2216
Mailing address
3764 McNab Ave
Long Beach, CA 90808-2216
Phone (510) 676-3297
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY35264 | CA | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727308800000",
"number": "1346068632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3764 MCNAB AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908082216",
"telephone_number": "510-676-3297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3764 MCNAB AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908082216",
"telephone_number": "510-676-3297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWELL",
"first_name": "JEFFERY",
"middle_name": "ALLAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-09-26",
"last_updated": "2024-09-26",
"certification_date": "2024-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "CA",
"license": "PSY35264",
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "CA",
"license": "PSY35264",
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "CA",
"license": "PSY35264",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY35264",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, CA
- New Life Community Mental Health Center
- New Life Community Mental Health Center
- New Wave Youth and Family Therapy Services
- Newbridge Learning and Behavioral Solutions
- Katelyn Newburn
- Anais Newenhouse, PT,DPT
- Lauren Newhouse, OTD, OTR/L, SWC
- Newman Health Services, Inc.
- Emily Jane Newman
- Jessica Ra'Chel Newman, LAC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.