Active NPI
Dr. Jesse Bashem & Associates Comprehensive Psychological Services Inc
- Clinical Psychologist
- Moorpark, CA
National Provider Identifier
1730837535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- 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, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jesse Bashem, PH.D
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Clinical Psychologist
- Newport Beach, CA
- NPI 1326506221
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
- Don R Stanley Jr DC & Wendy Womack Stanley DC (Moorpark Chiropractic)
- Dorfman and Gershfeld a Professional Corporation
- Gina Dorfman, D.D.S.
- Vladimir Dorojinsky
- Dr. Curtis Kodama & Associates, Inc.
- Dr. Nelson Santos Chiropractic, Inc.
- Dr. Vo and Associates Inc Moorpark Healthcare
- Charles Drehsen, M.D.
- Kristen Eastlick, SCHOOL COUNSELOR-PPS
- Ed Green Chiropractic, a Professional Corporation
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.