Individual provider Active NPI

Jaimie Schweitzer, PH.D.

  • Psychologist
  • Encino, CA
National Provider Identifier
1780709089
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY15552 Issued in CA
Practice address
5606 Ostrom Ave
Encino, CA 91316-1404
Phone
(818) 906-1103
Fax
(818) 789-8688
NPI assigned
Mar 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Development & Aging Psychologist 103TA0700X PSY15552 CA
Clinical Psychologist 103TC0700X PSY15552 CA
Family Psychologist 103TF0000X PSY15552 CA
Psychologist 103T00000X PSY15552 CA Primary

Addresses

Primary practice location

5606 Ostrom Ave
Encino, CA 91316-1404

Mailing address

5606 Ostrom Ave
Encino, CA 91316-1404
Phone (818) 906-1103

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20121004000020 CA Practitioner - Clinical Psychologist 4688823818 Practice locations: Encino, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5606 Ostrom Ave
Encino, CA 91316-1404
Phone (818) 906-1103

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY15552CAMDAdult Development & Aging Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Jaimie Schweitzer, PH.D. Adult Development & Aging CurrentSince Oct 15, 2021 Accepting new patients
Thomas Onorato, PH.D., Inc. Psychologist PastSince Dec 11, 2012 Accepting new patients

Organizations & group practices 2

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": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1780709089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5606 OSTROM AVE",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913161404",
            "telephone_number": "818-906-1103",
            "fax_number": "818-789-8688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5606 OSTROM AVE",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913161404",
            "telephone_number": "818-906-1103",
            "fax_number": "818-789-8688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWEITZER",
        "first_name": "JAIMIE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "CA",
            "license": "PSY15552",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY15552",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "CA",
            "license": "PSY15552",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY15552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

Verify at the official NPI Registry.