Individual provider Active NPI

Allison Kathleen Jamtaas, PSY.D.

  • Clinical Psychologist
  • Torrance, CA
National Provider Identifier
1366879926
Registry record updated Jan 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
32317 Issued in CA
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.