Active NPI
Jessica Patton
- Psychologist
- West Hollywood, CA
National Provider Identifier
1477854362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 4678
- Practice address
- 1025 N San Vicente Blvd
West Hollywood, CA 90069-3825 - Phone
- (213) 322-1071
- NPI assigned
- Nov 8, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 4678 | CA | Primary |
| School Psychologist | 103TS0200X | CA |
Addresses
Primary practice location
1025 N San Vicente Blvd
West Hollywood, CA 90069-3825
Mailing address
418 Bamboo LN Ste C-24
Los Angeles, CA 90012-1797
Phone (213) 322-1071
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4678 | CA | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788307200000",
"number": "1477854362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "418 BAMBOO LN STE C-24",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900121797",
"telephone_number": "213-322-1071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 N SAN VICENTE BLVD",
"city": "WEST HOLLYWOOD",
"state": "CA",
"postal_code": "900693825",
"telephone_number": "213-322-1071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTON",
"first_name": "JESSICA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-11-08",
"last_updated": "2026-09-02",
"certification_date": "2026-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "4678",
"primary": true
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "CA",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.