Active NPI
Jonathan Ray Meyer, PH.D.
- Clinical Psychologist
- Lancaster, CA
National Provider Identifier
1649344037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY6471
- Practice address
- 43770 15TH St W Ste 160
Lancaster, CA 93534-5203 - Phone
- (661) 917-0957
- NPI assigned
- Nov 20, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY6471 | CA | Primary |
Addresses
Primary practice location
43770 15TH St W Ste 160
Lancaster, CA 93534-5203
Mailing address
PO Box 1019
Littlerock, CA 93543-1019
Phone (661) 917-0957
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PSY6471 | Other | CA | LISCENSE |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY6471 | CA | MD | Clinical Psychologist |
| 6471 | CA | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1649344037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1019",
"city": "LITTLEROCK",
"state": "CA",
"postal_code": "935431019",
"telephone_number": "661-917-0957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43770 15TH ST W STE 160",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935345203",
"telephone_number": "661-917-0957"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEYER",
"first_name": "JONATHAN",
"middle_name": "RAY",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-20",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY6471",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LISCENSE",
"identifier": "PSY6471",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lancaster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.