Active NPI
Jade Garneau-Fournier, PH.D.
- Clinical Psychologist
- Los Angeles, CA
National Provider Identifier
1548773971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 9926
- Practice address
- 221 Westwood Plaza
Los Angeles, CA 90095-3170 - Phone
- (310) 825-0768
- NPI assigned
- Nov 7, 2017
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 9926 | FL | Primary |
Addresses
Primary practice location
221 Westwood Plaza
Los Angeles, CA 90095-3170
Mailing address
3047 Whisper Lake LN Apt G
Winter Park, FL 32792-5341
Phone (310) 924-9293
Other practice location 1
PO Box 163170
Orlando, FL 32816-3170
Phone (407) 823-2811
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9926 | FL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1548773971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3047 WHISPER LAKE LN APT G",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327925341",
"telephone_number": "310-924-9293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 WESTWOOD PLAZA",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900953170",
"telephone_number": "310-825-0768"
}
],
"practiceLocations": [
{
"address_1": "PO Box 163170",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328163170",
"country_code": "US",
"telephone_number": "407-823-2811",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARNEAU-FOURNIER",
"first_name": "JADE",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-11-07",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "9926",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.