Active NPI
Jade Wranosky
- Clinical Psychologist
- Los Angeles, CA
National Provider Identifier
1750976791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY34839
- Practice address
- 611 Wilshire Blvd Ste 1002
Los Angeles, CA 90017-2906 - Phone
- (213) 373-6647
- NPI assigned
- Mar 2, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY34839 | CA | Primary |
Addresses
Primary practice location
611 Wilshire Blvd Ste 1002
Los Angeles, CA 90017-2906
Mailing address
1881 Commercenter E Ste 238
San Bernardino, CA 92408-3479
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 |
|---|---|---|---|
| PSY34839 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Esperanza Ranch Psychology Services Corporation | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Psychologist
- Ontario, CA
- NPI 1659906790
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706572800000",
"number": "1750976791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1881 COMMERCENTER E STE 238",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924083479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 WILSHIRE BLVD STE 1002",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900172906",
"telephone_number": "213-373-6647"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRANOSKY",
"first_name": "JADE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-02",
"last_updated": "2024-01-30",
"certification_date": "2024-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY34839",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.