Donald R Jary, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY12654 Issued in CA

Practice address

1805 Medical Center Dr
San Bernardino, CA 92411-1217

Phone

(858) 205-5394

NPI assigned

Jun 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Donald R Jary PHD & Associates Apc

  • Psychologist
  • San Bernardino, CA
  • NPI 1275569717
  NPD (past) Authorized official
• Rasouli Medical Group

  • Infectious Disease Physician
  • San Bernardino, CA
  • NPI 1053500561
  NPD (past)

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240185600000",
    "number": "1699701250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E REDLANDS BLVD # U269",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923736143",
            "telephone_number": "858-205-5394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 MEDICAL CENTER DR",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924111217",
            "telephone_number": "858-205-5394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARY",
        "first_name": "DONALD",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-24",
        "last_updated": "2009-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY12654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PSY126542",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kyle Adam Janowski
• Amber Janson, PA-C
• Crystal Marie Jaramillo
• Jasmine Marlene Jaramillo
• Brian K Jarman, PA-S
• Jaspreet S. Saluja MD FCCP Inc
• Melissa Jauregui
• Aryana Isabella Javaherneshan
• Demont Jefferson
• Stephanie Jefferson, PSY.D.

• Psychologist in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2009; 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.