Active NPI
Allison Kathleen Jamtaas, PSY.D.
- Clinical Psychologist
- Torrance, CA
National Provider Identifier
1366879926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 32317
- Practice address
- 2601 Airport Dr Ste 135
Torrance, CA 90505-6141 - Phone
- (424) 201-1600
- Fax
- (424) 201-1601
- NPI assigned
- Sep 27, 2013
- Last updated
- Jan 6, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 32317 | CA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | NU |
Addresses
Primary practice location
2601 Airport Dr Ste 135
Torrance, CA 90505-6141
Mailing address
2601 Airport Dr Ste 135
Torrance, CA 90505-6141
Phone (424) 201-1600
Other practice location 1
1950 Addison St
Suite 109
Berkeley, CA 94704-1176
Phone (510) 548-9716 ext. 231
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609891200000",
"number": "1366879926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2601 AIRPORT DR STE 135",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905056141",
"telephone_number": "424-201-1600",
"fax_number": "424-201-1601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 AIRPORT DR STE 135",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905056141",
"telephone_number": "424-201-1600",
"fax_number": "424-201-1601"
}
],
"practiceLocations": [
{
"address_1": "1950 Addison St",
"address_2": "Suite 109",
"address_purpose": "LOCATION",
"city": "Berkeley",
"state": "CA",
"postal_code": "947041176",
"country_code": "US",
"telephone_number": "510-548-9716 x231",
"fax_number": "510-841-1284",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JAMTAAS",
"first_name": "ALLISON",
"middle_name": "KATHLEEN",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-27",
"last_updated": "2021-01-06",
"certification_date": "2021-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "32317",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.