Active NPI
Katherine Jakle, PSY.D.
- Clinical Psychologist
- Torrance, CA
National Provider Identifier
1558402099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 24708
- Practice address
- 1000 W Carson Street
Harbor UCLA Medical Center Department of Psychiatry
Torrance, CA 90509 - Phone
- (310) 222-1636
- Fax
- (310) 328-7217
- NPI assigned
- Feb 9, 2007
- 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 | 24708 | CA | Primary |
Addresses
Primary practice location
1000 W Carson Street
Harbor UCLA Medical Center Department of Psychiatry
Torrance, CA 90509
Mailing address
1328 Westwood Blvd Ste 10
Los Angeles, CA 90024-4932
Phone (424) 383-5113
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Feb 5, 2019 through Feb 5, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24708 | CA | MD | Neonatal/Pediatric Certified Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582588800000",
"number": "1558402099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1328 WESTWOOD BLVD STE 10",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900244932",
"telephone_number": "424-383-5113",
"fax_number": "818-895-9519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 W CARSON STREET",
"address_2": "HARBOR UCLA MEDICAL CENTER DEPARTMENT OF PSYCHIATRY",
"city": "TORRANCE",
"state": "CA",
"postal_code": "90509",
"telephone_number": "310-222-1636",
"fax_number": "310-328-7217"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAKLE",
"first_name": "KATHERINE",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-09",
"last_updated": "2020-02-25",
"certification_date": "2020-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "24708",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.