Active NPI
Jamie Lynn Cantor, MA MFT
- Psychologist
- Encino, CA
National Provider Identifier
1477690295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- MFC25381
- Practice address
- 16055 Ventura Blvd
#717
Encino, CA 91436 - Phone
- (818) 207-8290
- Fax
- (818) 708-8473
- NPI assigned
- Jan 31, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | MFC25381 | CA | Primary |
Addresses
Primary practice location
16055 Ventura Blvd
#717
Encino, CA 91436
Mailing address
16055 Ventura Blvd
#717
Encino, CA 91436
Phone (818) 207-8290
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 |
|---|---|---|---|---|
| I20250624001001 | CA | Practitioner - Marriage and Family Therapist | 0446776397 | Practice locations: Tarzana, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC25381 | CA | MD | Psychologist |
| 25381 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477690295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16055 VENTURA BLVD",
"address_2": "#717",
"city": "ENCINO",
"state": "CA",
"postal_code": "91436",
"telephone_number": "818-207-8290",
"fax_number": "818-708-8473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16055 VENTURA BLVD",
"address_2": "#717",
"city": "ENCINO",
"state": "CA",
"postal_code": "91436",
"telephone_number": "818-207-8290",
"fax_number": "818-708-8473"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANTOR",
"first_name": "JAMIE",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "MA MFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "MFC25381",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Encino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.