Active NPI
Jeanne Mary Lichman, PH.D.
- Psychologist
- Orange, CA
National Provider Identifier
1720041239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY14165
- Practice address
- 1439 E Chapman Ave
Orange, CA 92866-2228 - Phone
- (714) 633-6237
- Fax
- (714) 990-1959
- NPI assigned
- Apr 7, 2006
- 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 | PSY14165 | CA | Primary |
Addresses
Primary practice location
1439 E Chapman Ave
Orange, CA 92866-2228
Mailing address
1439 E Chapman Ave
Orange, CA 92866-2228
Phone (714) 633-6237
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 135513FC | Other | CA | PREFERRED CARE |
| OPL141650 | Other | CA | BLUE SHIELD |
| PSY14165 | Other | CA | PSYCHOLOGY LICENSE |
| 542200PL141650 | Other | CA | BLUE CROSS BLUE SHIELD |
| 61-37787 | Other | CA | US BEHAVIORAL HEALTH |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY14165 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207699200000",
"number": "1720041239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1439 E CHAPMAN AVE",
"city": "ORANGE",
"state": "CA",
"postal_code": "928662228",
"telephone_number": "714-633-6237",
"fax_number": "714-990-1959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1439 E CHAPMAN AVE",
"city": "ORANGE",
"state": "CA",
"postal_code": "928662228",
"telephone_number": "714-633-6237",
"fax_number": "714-990-1959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LICHMAN",
"first_name": "JEANNE",
"middle_name": "MARY",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-07",
"last_updated": "2008-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY14165",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE",
"identifier": "135513FC",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "OPL141650",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PSYCHOLOGY LICENSE",
"identifier": "PSY14165",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "542200PL141650",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US BEHAVIORAL HEALTH",
"identifier": "61-37787",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.