Jill Ann Cavish, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

333491 Issued in CA

Practice address

511 N Brookhurst St Ste 200
Anaheim, CA 92801-5229

Phone

(714) 780-0750

Fax

(714) 780-0757

NPI assigned

Jul 16, 2006

Last updated

May 19, 2022By the provider in NPPES

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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

• College Community Services

  dba AMHS Clarvida Anaheim Adult Behavioral Health Outpatient Services

  • Community/Behavioral Health Agency
  • Anaheim, CA
  • NPI 1043354624
  Medicare reassignment NPD
• College Community Services

  dba Clarvida

  • Community/Behavioral Health Agency
  • Tehachapi, CA
  • NPI 1831870500
  NPD

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1669499588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20052 FERNGLEN DR",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928866016",
            "telephone_number": "714-780-0750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 N BROOKHURST ST STE 200",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928015229",
            "telephone_number": "714-780-0750",
            "fax_number": "714-780-0757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVISH",
        "first_name": "JILL",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-16",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "333491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Forest Anthony Cauchon
• Clara P Caudillo, PT, DPT
• Edwin Cornelle Cavannaugh IV, MD
• Teresa Cavazos
• Richard Lawrence Cavin, LMFT
• Taylor Ryan Cavo
• Keyli Cazares Penilla
• Nadine Cazares
• Cbas Healthcare Group, Inc.
• CCC Surgery Center LLC

• Psychiatric/Mental Health Nurse Practitioner in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.