Individual provider Active NPI

Jacquel Nakarri Dean, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Roseville, CA
National Provider Identifier
1386397073
Registry record updated Oct 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95036622 Issued in CA
Practice address
3400 Douglas Blvd Ste 170
Roseville, CA 95661-4281
Phone
(855) 466-8628
NPI assigned
Feb 2, 2022
Last updated
Oct 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95036622 CA Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 988104 TX

Addresses

Primary practice location

3400 Douglas Blvd Ste 170
Roseville, CA 95661-4281

Mailing address

9706 Chipstead CT
Spring, TX 77379-6593
Phone (334) 750-8289

Other practice location 1

9706 Chipstead Ct
Spring, TX 77379-6593
Phone (334) 738-4269

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251006003783 CA Practitioner - Nurse Practitioner 6305343542 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1902 Wright PL
FL 2
Carlsbad, CA 92008-6583
Phone (888) 515-3834

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
988104TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Diagnostics CurrentSince Mar 20, 2022 Accepting new patients
Memory Check Psychological Services, a Professional Corporation Psychiatric/Mental Health CurrentSince Sep 8, 2025 Accepting new patients

Locations

1902 Wright Pl
Fl 2
Carlsbad, CA 92008
Phone (929) 468-2465

5838 Edison Pl
Ste 100
Carlsbad, CA 92008
Phone (760) 300-3664

348 Iris Dr
Salinas, CA 93906
Phone (831) 449-5496

7447 Sepulveda Blvd
Van Nuys, CA 91405
Phone (818) 787-3400

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1643760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792022400000",
    "number": "1386397073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9706 CHIPSTEAD CT",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773796593",
            "telephone_number": "334-750-8289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 DOUGLAS BLVD STE 170",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614281",
            "telephone_number": "855-466-8628"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9706 Chipstead Ct",
            "address_purpose": "LOCATION",
            "city": "Spring",
            "state": "TX",
            "postal_code": "773796593",
            "country_code": "US",
            "telephone_number": "334-738-4269",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEAN",
        "first_name": "JACQUEL",
        "middle_name": "NAKARRI",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-02",
        "last_updated": "2026-10-15",
        "certification_date": "2026-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95036622",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "988104",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

Verify at the official NPI Registry.