Individual provider Active NPI

Jeffery Patrick Epps

  • Forensic Psychologist
  • Los Angeles, CA
National Provider Identifier
1386212389
Registry record updated Nov 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Forensic PsychologistTaxonomy code 103TF0200X
License
PSB94025816 Issued in CA
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

Updated by the provider on Nov 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
PSB94025816CAMDForensic Psychologist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.