Jennifer Patricia Walsh, ED.D

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

3325 Issued in CA

Practice address

2200 Pacific Coast Hwy
Hermosa Beach, CA 90254-2757

Phone

(424) 259-3450

NPI assigned

Oct 23, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Jenna Walsh Tsuruta Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1508638701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2406 CLARK LN # B",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902784424",
            "telephone_number": "310-977-4548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 PACIFIC COAST HWY",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902542757",
            "telephone_number": "424-259-3450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6310 San Vicente Blvd",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900485426",
            "country_code": "US",
            "telephone_number": "424-259-3450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALSH",
        "first_name": "JENNIFER",
        "middle_name": "PATRICIA",
        "name_prefix": "Dr.",
        "credential": "ED.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-23",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "CA",
            "license": "3325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "TSURUTA",
            "middle_name": "WALSH",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Danielle Wagoner, MA, BCBA
• Lisa Deanne Waldman, PH.D.
• Kacey Walker, AMFT
• Mignon Walker, MD
• Steven V Walker Jr., APCC
• Kelly Warren, PSYD
• Way of the Tao, Acupuncture & Wellness Inc.
• John Anthony Webber, MS, LMFT
• Carol G Weiss, PHD
• Wellness Physical Therapy, Inc.

• School Psychologist in Hermosa Beach, CA
• Providers in Hermosa Beach, CA by specialty
• School Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.