Jerry Ray Pulley, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS 17518 Issued in CA

Practice address

28999 Old Town Front St
Ste. 105
Temecula, CA 92590-5805

Phone

(951) 764-3245

Fax

(951) 308-1515

NPI assigned

Apr 5, 2007

Last updated

Oct 21, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Jerral Ray Pulley Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• George L Hunter MFT

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Temecula, CA
  • NPI 1639459217
  NPD (past)

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

{
    "created_epoch": "1175731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319155200000",
    "number": "1407978844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28999 OLD TOWN FRONT ST",
            "address_2": "STE. 105",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925905805",
            "telephone_number": "951-764-3245",
            "fax_number": "951-308-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28999 OLD TOWN FRONT ST",
            "address_2": "STE. 105",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925905805",
            "telephone_number": "951-764-3245",
            "fax_number": "951-308-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULLEY",
        "first_name": "JERRY",
        "middle_name": "RAY",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-05",
        "last_updated": "2011-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 17518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JERRAL",
            "last_name": "PULLEY",
            "middle_name": "RAY",
            "prefix": "MR.",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Psych Partners
• Psychology Partners a Prof Corp (Psych Partners)
• Thomas Puccio
• Charmaine Puentes, BCABA
• Jennifer Pugh
• James Punghorst, DC
• Jessica Purvis, LCSW
• Dylan Putignani, NONE
• Brandon Edward Putney
• Angelique Grace Putris

• Clinical Social Worker in Temecula, CA
• Providers in Temecula, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2011; 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.