Active NPI
Jacquelyn Marie Toth, MFTI
- Psychoanalyst
- Ventura, CA
National Provider Identifier
1568960573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychoanalyst
- License
- IMF86874
- Practice address
- 759 Poli St Apt B
Ventura, CA 93001-5965 - Phone
- (805) 766-4585
- NPI assigned
- Jan 24, 2018
- 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 |
|---|---|---|---|---|
| Psychoanalyst | 102L00000X | IMF86874 | CA | Primary |
Addresses
Primary practice location
759 Poli St Apt B
Ventura, CA 93001-5965
Mailing address
759 Poli St Apt B
Ventura, CA 93001-5965
Phone (805) 766-4590
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMF86874 | CA | MD | Psychoanalyst |
| 112958 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516752000000",
"number": "1568960573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "759 POLI ST APT B",
"city": "VENTURA",
"state": "CA",
"postal_code": "930015965",
"telephone_number": "805-766-4590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "759 POLI ST APT B",
"city": "VENTURA",
"state": "CA",
"postal_code": "930015965",
"telephone_number": "805-766-4585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOTH",
"first_name": "JACQUELYN",
"middle_name": "MARIE",
"credential": "MFTI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-24",
"last_updated": "2018-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "102L00000X",
"taxonomy_group": "",
"desc": "Psychoanalyst",
"state": "CA",
"license": "IMF86874",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ventura, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.