Individual provider Active NPI

Jonine Biesman, PSY,D. ABPDN

  • Clinical Neuropsychologist
  • Encino, CA
National Provider Identifier
1376890657
Registry record updated Aug 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PSY17283 Issued in CA
Practice address
15928 Ventura Blvd
Suite 221
Encino, CA 91436-4401
Phone
(818) 415-6435
NPI assigned
Aug 6, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PSY17283 CA Primary

Addresses

Primary practice location

15928 Ventura Blvd
Suite 221
Encino, CA 91436-4401

Mailing address

15928 Ventura Blvd
Suite 221
Encino, CA 91436-4401
Phone (818) 415-6435

Other names 1

  • Dr. Jonine Nazar-Biesman Professional name

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

LicenseStateTypeSpecialty
PSY17283CAMDClinical Neuropsychologist

NPI Registry JSON

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

{
    "created_epoch": "1344211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344211200000",
    "number": "1376890657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15928 VENTURA BLVD",
            "address_2": "SUITE 221",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364401",
            "telephone_number": "818-415-6435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15928 VENTURA BLVD",
            "address_2": "SUITE 221",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364401",
            "telephone_number": "818-415-6435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIESMAN",
        "first_name": "JONINE",
        "name_prefix": "Dr.",
        "credential": "PSY,D.  ABPDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-06",
        "last_updated": "2012-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY17283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JONINE",
            "last_name": "NAZAR-BIESMAN",
            "prefix": "DR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2012; 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.