Active NPI
Jeffery Patrick Epps
- Forensic Psychologist
- Los Angeles, CA
National Provider Identifier
1386212389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Psychologist
- License
- PSB94025816
- Practice address
- 2728 W 54TH St
Los Angeles, CA 90043-2644 - Phone
- (213) 500-1141
- NPI assigned
- Jun 15, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Forensic Psychologist | 103TF0200X | PSB94025816 | CA | Primary |
Addresses
Primary practice location
2728 W 54TH St
Los Angeles, CA 90043-2644
Mailing address
2728 W 54TH St
Los Angeles, CA 90043-2644
Phone (661) 238-6075
Other practice location 1
400 N Tustin Ave
Santa Ana, CA 92705-3813
Phone (714) 844-9615 ext. 8404
Other practice location 2
118 Livingston Ave
Placentia, CA 92870-2546
Phone (714) 986-9451
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jeffery.epps@rop.com |
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 |
|---|---|---|---|
| PSB94025816 | CA | MD | Forensic Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rite of Passage Adolescent Treatment Centers and Schools, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Adolescent and Children Mental Health Clinic/Center
- Placentia, CA
- NPI 1861977555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635811200000",
"number": "1386212389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2728 W 54TH ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900432644",
"telephone_number": "661-238-6075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2728 W 54TH ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900432644",
"telephone_number": "213-500-1141"
}
],
"practiceLocations": [
{
"address_1": "400 N Tustin Ave",
"address_purpose": "LOCATION",
"city": "Santa Ana",
"state": "CA",
"postal_code": "927053813",
"country_code": "US",
"telephone_number": "714-844-9615 x8404",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "118 Livingston Ave",
"address_purpose": "LOCATION",
"city": "Placentia",
"state": "CA",
"postal_code": "928702546",
"country_code": "US",
"telephone_number": "714-986-9451",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EPPS",
"first_name": "JEFFERY",
"middle_name": "PATRICK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-15",
"last_updated": "2021-11-02",
"certification_date": "2021-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "CA",
"license": "PSB94025816",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jeffery.epps@rop.com",
"affiliation": "N",
"address_1": "400 N Tustin Ave",
"city": "Santa Ana",
"state": "CA",
"country_code": "US",
"postal_code": "927053813",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.