Active NPI
Jayanthi Meena Kasiraj, PH.D.
- Clinical Psychologist
- Sacramento, CA
National Provider Identifier
1619917887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY 14578
- Practice address
- 2708 Latham Drive
Sacramento, CA 95864 - Phone
- (916) 485-5500
- Fax
- (916) 734-6652
- NPI assigned
- Jun 7, 2006
- Sex
- Female
- Sole proprietor
- No
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 | PSY 14578 | CA | Primary |
Addresses
Primary practice location
2708 Latham Drive
Sacramento, CA 95864
Mailing address
2708 Latham Dr
Sacramento, CA 95864-7107
Phone (916) 485-5500
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 |
|---|---|---|---|
| PSY 14578 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1619917887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2708 LATHAM DR",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958647107",
"telephone_number": "916-485-5500",
"fax_number": "916-734-6652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2708 LATHAM DRIVE",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "95864",
"telephone_number": "916-485-5500",
"fax_number": "916-734-6652"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASIRAJ",
"first_name": "JAYANTHI",
"middle_name": "MEENA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-07",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY 14578",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.