Jeritt Ross Tucker, PHD

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

31412 Issued in CA

Practice address

700 S Flower St Ste 1000
Los Angeles, CA 90017-4112

Phone

(213) 600-6096

NPI assigned

Mar 23, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Tucker & Ko Psychological Services, Inc.

  • Counseling Psychologist
  • San Diego, CA
  • NPI 1063142404
  NPD Authorized official

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

{
    "created_epoch": "1427068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574121600000",
    "number": "1689068264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 S FLOWER ST STE 1000",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900174112",
            "telephone_number": "213-600-6096",
            "fax_number": "617-665-3449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S FLOWER ST STE 1000",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900174112",
            "telephone_number": "213-600-6096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "JERITT",
        "middle_name": "ROSS",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-23",
        "last_updated": "2019-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "IA",
            "license": "083818",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "CA",
            "license": "31412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonnie Helene Tucker, PH.D.
• Brianna Tucker, MS, CGC
• Christen Aniese Tucker, DPT
• Geoffrey A Tucker, MD
• Jeffrey Tucker, D.C.
• Judy C Tucker, OD
• Landon Alfred Tucker
• Lynnette Tucker
• Marcus I Tucker
• Matthew Paul Tucker, CRNA

• Counseling Psychologist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Counseling Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.