Individual provider Active NPI

Jenna Jean Torres, PSYD, LP

  • Clinical Psychologist
  • Costa Mesa, CA
National Provider Identifier
1639439342
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
29138 Issued in CA
Practice address
1640 Newport Blvd Ste 110
Costa Mesa, CA 92627-7762
Phone
(925) 282-1778
NPI assigned
May 29, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 29138 CA Primary

Addresses

Primary practice location

1640 Newport Blvd Ste 110
Costa Mesa, CA 92627-7762

Mailing address

1640 Newport Blvd Ste 110
Costa Mesa, CA 92627-7762
Phone (925) 282-1778

Other names 1

  • Jenna Blume Former name

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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29138CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Psycare Inc Clinical CurrentSince Jul 5, 2022 Accepting new patients
Pacific Coast Psychiatric Associates Inc Clinical CurrentSince Aug 11, 2024 Accepting new patients

Locations

3350 E Birch St
Ste 206
Brea, CA 92821
Phone (562) 725-4966

1640 Newport Blvd
Ste 110
Costa Mesa, CA 92627
Phone (415) 409-0944

4040 Barranca Pkwy
Ste 260
Irvine, CA 92604

6200 Wilshire Blvd
Ste 1410
Los Angeles, CA 90048
Phone (323) 403-0474

299 N Euclid Ave
Ste 400
Pasadena, CA 91101
Phone (626) 808-4600

675 S Arroyo Pkwy
Ste 420
Pasadena, CA 91105
Phone (626) 795-0617

4550 Kearny Villa Rd
Ste 116
San Diego, CA 92123
Phone (619) 279-1223

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.jennatorres@148377.advancedmd-direct.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1338249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1639439342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 NEWPORT BLVD STE 110",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926277762",
            "telephone_number": "925-282-1778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 NEWPORT BLVD STE 110",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926277762",
            "telephone_number": "925-282-1778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRES",
        "first_name": "JENNA",
        "middle_name": "JEAN",
        "credential": "PSYD, LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-29",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "29138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "BLUME",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Costa Mesa, CA

Sources for this page

Verify at the official NPI Registry.