Individual provider Active NPI

Tatyana G Jones, PH.D.

  • Clinical Neuropsychologist
  • Downey, CA
National Provider Identifier
1740223254
Registry record updated Feb 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PSY19794 Issued in CA
Practice address
7601 Imperial Hwy
Rancho Los Amigos HB 226
Downey, CA 90242-3456
Phone
(562) 401-8192
Fax
(562) 401-6678
NPI assigned
Jun 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2013

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PSY19794 CA Primary
Clinical Psychologist 103TC0700X 19794 CA
Psychologist 103T00000X 19794 CA
Cognitive & Behavioral Psychologist 103TB0200X 19794 CA
Rehabilitation Psychologist 103TR0400X 19794 CA
Adult Development & Aging Psychologist 103TA0700X 19794 CA
Health Service Psychologist 103TH0100X 19794 CA

Addresses

Primary practice location

7601 Imperial Hwy
Rancho Los Amigos HB 226
Downey, CA 90242-3456

Mailing address

7601 Imperial Hwy
HB 226
Downey, CA 90242-3456
Phone (562) 401-8192

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060203000418 CA Practitioner - Clinical Psychologist 4789698234 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
19794CAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
County of Los Angeles CurrentSince Jun 29, 2013 Accepting new patients
County of Los Angeles CurrentSince Jun 29, 2013 Accepting new patients
Vericare of California Medical Group Clinical Past Accepting new patients

Locations

7601 Imperial Hwy
Downey, CA 90242
Phone (310) 940-8111

7601 Imperial Hwy
#226
Downey, CA 90242
Phone (562) 401-6320

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360108800000",
    "number": "1740223254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7601 IMPERIAL HWY",
            "address_2": "HB 226",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902423456",
            "telephone_number": "562-401-8192",
            "fax_number": "562-401-6678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 IMPERIAL HWY",
            "address_2": "RANCHO LOS AMIGOS HB 226",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902423456",
            "telephone_number": "562-401-8192",
            "fax_number": "562-401-6678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "TATYANA",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2013-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY19794",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "19794",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "19794",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "CA",
            "license": "19794",
            "primary": false
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "CA",
            "license": "19794",
            "primary": false
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "CA",
            "license": "19794",
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "CA",
            "license": "19794",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downey, CA

Sources for this page

Verify at the official NPI Registry.