Active NPI
Jamie Ann Cisar, PSY.D.
- Psychologist
- San Jose, CA
National Provider Identifier
1497048490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY32840
- Practice address
- 302 Toyon Avenue Suite F #136
San Jose, CA 95127 - Phone
- (408) 649-4522
- NPI assigned
- May 24, 2011
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY32840 | CA | Primary |
Addresses
Primary practice location
302 Toyon Avenue Suite F #136
San Jose, CA 95127
Mailing address
302 Toyon Avenue Suite F #136
San Jose, CA 95127
Phone (408) 649-4522
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 |
|---|---|---|---|
| PSY32840 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635379200000",
"number": "1497048490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 TOYON AVENUE SUITE F #136",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "95127",
"telephone_number": "408-649-4522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 TOYON AVENUE SUITE F #136",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "95127",
"telephone_number": "408-649-4522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CISAR",
"first_name": "JAMIE",
"middle_name": "ANN",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-24",
"last_updated": "2021-10-28",
"certification_date": "2021-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY32840",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.