Active NPI
Jane Oh, PH.D.
- Psychologist
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 560 S St Louis St
Los Angeles, CA 90033-4390 - Phone
- (323) 261-4900
- Fax
- (323) 261-4343
- NPI assigned
- Aug 31, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Psychologist | 103T00000X | PSY26714 | CA | |
| Clinical Psychologist | 103TC0700X | PSY26714 | CA | |
| Rehabilitation Counselor | 225C00000X | |||
| Psychologist | 103T00000X | CA | Primary |
Addresses
Primary practice location
560 S St Louis St
Los Angeles, CA 90033-4390
Mailing address
560 S St Louis St
Los Angeles, CA 90033-4390
Phone (323) 261-4900
Other practice location 1
14930 Ventura Blvd Ste 230
Sherman Oaks, CA 91403-3487
Phone (818) 570-1636
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY26714 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Enki Health Services, Inc. | Current | Accepting new patients | |
| Enki Health Services, Inc. | Current | Accepting new patients | |
| Inga Simonian, PHD Psychology Group, Inc. | Past | Accepting new patients |
Locations
150 E Olive Ave
Ste 203
Burbank, CA 91502
Phone (818) 973-4899
1436 Goodrich Blvd
Commerce, CA 90022
Phone (323) 725-1337
160 S 7th Ave
La Puente, CA 91746
Phone (626) 961-8971
2523 W 7th St
Los Angeles, CA 90057
Phone (213) 480-1557
560 S St Louis St
Los Angeles, CA 90033
Phone (213) 480-1557
Organizations & group practices 3
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.
-
- Community/Behavioral Health Agency
- Los Angeles, CA
- NPI 1932230638
-
- Community/Behavioral Health Agency
- El Monte, CA
- NPI 1881725117
-
- Preferred Provider Organization
- Burbank, CA
- NPI 1992181143
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706054400000",
"number": "1689868754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "560 S ST LOUIS ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900334390",
"telephone_number": "323-261-4900",
"fax_number": "323-261-4343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "560 S ST LOUIS ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900334390",
"telephone_number": "323-261-4900",
"fax_number": "323-261-4343"
}
],
"practiceLocations": [
{
"address_1": "14930 Ventura Blvd Ste 230",
"address_purpose": "LOCATION",
"city": "Sherman Oaks",
"state": "CA",
"postal_code": "914033487",
"country_code": "US",
"telephone_number": "818-570-1636",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OH",
"first_name": "JANE",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-31",
"last_updated": "2024-01-24",
"certification_date": "2024-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY26714",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY26714",
"primary": false
},
{
"code": "225C00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; 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.