Jane Clare Beresford, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY 16618 Issued in CA

Practice address

15300 Ventura Blvd
#301
Sherman Oaks, CA 91403-3103

Phone

(310) 551-8535

Fax

(818) 508-8594

NPI assigned

Apr 2, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Southland Psychology Inc

  • Clinical Psychologist
  • Sherman Oaks, CA
  • NPI 1043738412
  NPD Authorized official

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448841600000",
    "number": "1467573378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15300 VENTURA BLVD",
            "address_2": "#301",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033103",
            "telephone_number": "310-551-8535",
            "fax_number": "818-508-8594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15300 VENTURA BLVD",
            "address_2": "#301",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033103",
            "telephone_number": "310-551-8535",
            "fax_number": "818-508-8594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERESFORD",
        "first_name": "JANE",
        "middle_name": "CLARE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2015-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 16618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGY LICENSE",
            "identifier": "PSY 16618",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Elizabeth Benjamin, M.A., LMFT
• Adam Bennett, MA, AMFT
• Martin Bennett, M.D.
• Pamela F. Benyas, PH.D.
• John Anthony Beradino Jr., M.A.
• Eli Louis Berg-Rosenblatt
• Stephanie Fallon Berg, ND
• Shayna Bergenfeld, AMFT 155015
• Robin G. Berglund, M.D.
• Berj Dermendjian DO a Medical Corporation

• Clinical Psychologist in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2015; 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.

Verify at the official NPI Registry.