Active NPI
Madeline Jessie
- Psychologist
- Newport Beach, CA
National Provider Identifier
1700744679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 94029387
- Practice address
- 4000 Macarthur Blvd Ste 600
East Tower
Newport Beach, CA 92660-2517 - Phone
- (949) 432-9173
- NPI assigned
- Jan 12, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 94029387 | CA | Primary |
Addresses
Primary practice location
4000 Macarthur Blvd Ste 600
East Tower
Newport Beach, CA 92660-2517
Mailing address
1854 W Valencia Dr Apt 8
Fullerton, CA 92833-3200
Phone (214) 789-9191
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 94029387 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1768176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768176000000",
"number": "1700744679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1854 W VALENCIA DR APT 8",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928333200",
"telephone_number": "214-789-9191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 MACARTHUR BLVD STE 600",
"address_2": "EAST TOWER",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926602517",
"telephone_number": "949-432-9173"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JESSIE",
"first_name": "MADELINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-01-12",
"last_updated": "2026-01-12",
"certification_date": "2026-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "94029387",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.