Active NPI
Jaleen Tomy, LCSW
- Clinical Social Worker
- Vacaville, CA
National Provider Identifier
1457622177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 27138
- Practice address
- 400 Boyd St
Vacaville, CA 95688-4522 - Phone
- (707) 408-2517
- NPI assigned
- Jan 26, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 27138 | CA | Primary |
Addresses
Primary practice location
400 Boyd St
Vacaville, CA 95688-4522
Mailing address
200 Prairie CT Unit 2426
Vacaville, CA 95696-3276
Phone (707) 408-2517
Other names 1
- Jaleen Tomy-Yurong
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181203002646 | CA | Practitioner - Clinical Social Worker | 8022352079 | Practice locations: Carlsbad, CA; Oceanside, CA; Fairfield, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
329 Cole Way
Oceanside, CA 92054-5671
Phone (707) 408-2517
490 Chadbourne Rd
FL 2
Fairfield, CA 94534-9613
Phone (707) 408-2517
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27138 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Darrell Broaddus Psychological Services PC | 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.
-
- Clinical Psychologist
- Orangevale, CA
- NPI 1215339650
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568592000000",
"number": "1457622177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 PRAIRIE CT UNIT 2426",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "956963276",
"telephone_number": "707-408-2517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 BOYD ST",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "956884522",
"telephone_number": "707-408-2517"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOMY",
"first_name": "JALEEN",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-01-26",
"last_updated": "2019-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "27138",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JALEEN",
"last_name": "TOMY-YURONG",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Vacaville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.