Individual provider Active NPI

Jaclyn Friedenthal, PSY.D.

  • Psychologist
  • Encino, CA
National Provider Identifier
1528523263
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY30661 Issued in CA
Practice address
16530 Ventura Blvd Ste 400
Encino, CA 91436-4551
Phone
(310) 845-6672
NPI assigned
Feb 6, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY30661 CA Primary

Addresses

Primary practice location

16530 Ventura Blvd Ste 400
Encino, CA 91436-4551

Mailing address

2444 Wilshire Blvd Ste 275
Santa Monica, CA 90403-5857
Phone (310) 845-6672

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

LicenseStateTypeSpecialty
PSY30661CAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Jaclyn Friedenthal Psychology, Inc. Clinical CurrentSince Apr 6, 2025 Accepting new patients

Locations

16530 Ventura Blvd
Ste 400
Encino, CA 91436
Phone (213) 855-2185

2444 Wilshire Blvd
Ste 275
Santa Monica, CA 90403

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1549411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1528523263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2444 WILSHIRE BLVD STE 275",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035857",
            "telephone_number": "310-845-6672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16530 VENTURA BLVD STE 400",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364551",
            "telephone_number": "310-845-6672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDENTHAL",
        "first_name": "JACLYN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-06",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY30661",
            "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 Apr 2, 2025; 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.