Jemela Sue Macer, PH.D

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY12504 Issued in CA

Practice address

116 N Maryland Ave Ste 200
Glendale, CA 91206-4270

Phone

(818) 242-5460

Fax

(818) 790-4126

NPI assigned

Jan 29, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619013471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 N MARYLAND AVE STE 200",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064270",
            "telephone_number": "818-242-5460",
            "fax_number": "818-790-4126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 N MARYLAND AVE STE 200",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064270",
            "telephone_number": "818-242-5460",
            "fax_number": "818-790-4126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACER",
        "first_name": "JEMELA",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY12504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Matheus Macedo
• Lisa Macho
• Cristal Macias
• Damaris Macias, MSW, ACSW
• Monica Natalia Macias, PHARMD.
• Diana Grace Mack

• Psychologist in Glendale, CA
• Providers in Glendale, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.