Active NPI
Janay D. Osantowski, PH.D.
- Clinical Psychologist
- Santee, CA
National Provider Identifier
1619015807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY18794
- Practice address
- 10765 Woodside Ave;
Suite C
Santee, CA 92071 - Phone
- (619) 370-3143
- Fax
- (619) 448-0132
- NPI assigned
- Feb 1, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY18794 | CA | |
| Clinical Psychologist | 103TC0700X | PSY18794 | CA | Primary |
Addresses
Primary practice location
10765 Woodside Ave;
Suite C
Santee, CA 92071
Mailing address
10765 Woodside Ave.
Suite C
Santee, CA 92071
Phone (619) 370-3143
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041215001071 | CA | Practitioner - Clinical Psychologist | 3678530128 | Practice locations: San Diego, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
7290 Navajo Rd
Suite 105
San Diego, CA 92119-1631
Phone (619) 370-3143
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY18794 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438905600000",
"number": "1619015807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10765 WOODSIDE AVE.",
"address_2": "SUITE C",
"city": "SANTEE",
"state": "CA",
"postal_code": "92071",
"telephone_number": "619-370-3143",
"fax_number": "619-448-0132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10765 WOODSIDE AVE;",
"address_2": "SUITE C",
"city": "SANTEE",
"state": "CA",
"postal_code": "92071",
"telephone_number": "619-370-3143",
"fax_number": "619-448-0132"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSANTOWSKI",
"first_name": "JANAY",
"middle_name": "D.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-01",
"last_updated": "2015-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY18794",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY18794",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santee, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.