Jeannine Lemare Calaba, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY13961 Issued in CA

Practice address

4820 Gentry Ave
Valley Village, CA 91607-3711

Phone

(818) 763-3361

NPI assigned

Aug 7, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1780693887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4820 GENTRY AVE",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916073711",
            "telephone_number": "818-763-3361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4820 GENTRY AVE",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916073711",
            "telephone_number": "818-763-3361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALABA",
        "first_name": "JEANNINE",
        "middle_name": "LEMARE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY13961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brightmind Sleep Center Inc
• Alan Ray Brody, D.D.S,M.S
• Emanuela Buchalter, LMFT
• Jenna Bush, BCBA
• Yasmin Cabrera
• California Ara Clinic Inc
• California Care Hospice Inc.
• Marleen Clarisa Can
• Canyon RX Inc (101 Pharmacy)
• Chanelle Jali Cardona

• Clinical Psychologist in Valley Village, CA
• Providers in Valley Village, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.