Organization Active NPI

Dr. Jesse Bashem & Associates Comprehensive Psychological Services Inc

  • Clinical Psychologist
  • Moorpark, CA
National Provider Identifier
1730837535
Registry record updated Apr 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
DR. JESSE BASHEM & ASSOCIATES COMPREHENSIVE PSYCHOLOGICAL SERVICES INC
Practice address
650 Flinn Ave Unit 6
Moorpark, CA 93021-2004
Phone
(949) 889-2301
Fax
(805) 953-8340
NPI assigned
Mar 11, 2022
Last updated
Apr 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2022

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

Authorized official

Name
Jesse Bashem, PH.DNPI 1326506221
Title
Owner
Phone
(949) 889-2301

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NU
Clinical Psychologist 103TC0700X NU Primary

Addresses

Primary practice location

650 Flinn Ave Unit 6
Moorpark, CA 93021-2004

Mailing address

650 Flinn Ave Unit 6
Moorpark, CA 93021-2004
Phone (949) 889-2301

National Provider Directory

National Provider Directory

Locations

650 Flinn Ave
Ste 6
Moorpark, CA 93021
Phone (949) 889-2301

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1646956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649289600000",
    "number": "1730837535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 FLINN AVE UNIT 6",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930212004",
            "telephone_number": "949-889-2301",
            "fax_number": "805-953-8340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 FLINN AVE UNIT 6",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930212004",
            "telephone_number": "949-889-2301",
            "fax_number": "805-953-8340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JESSE BASHEM & ASSOCIATES COMPREHENSIVE PSYCHOLOGICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-11",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A",
        "authorized_official_last_name": "BASHEM",
        "authorized_official_first_name": "JESSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-889-2301",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorpark, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; 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.