Individual provider Active NPI

Jane Oh, PH.D.

  • Psychologist
  • Los Angeles, CA
National Provider Identifier
1689868754
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
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

Updated by the provider on Jan 24, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170410002572 CA Practitioner - Clinical Psychologist 0547546350 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY26714CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Enki Health Services, Inc. Current Accepting new patients
Enki Health Services, Inc. CurrentSince Aug 14, 2024 Accepting new patients
Inga Simonian, PHD Psychology Group, Inc. PastSince Aug 24, 2015 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.

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

Verify at the official NPI Registry.