Jane Li MD Psychiatry, Inc.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A104298 Issued in CA

Legal business name

JANE LI MD PSYCHIATRY, INC.

Practice address

290 Maple CT
Suite 107
Ventura, CA 93003-3517

Phone

(805) 256-5527

NPI assigned

Dec 16, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Jane Li, MDNPI 1922262724

Title

President

Phone

(805) 256-5527

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jane Li, MD

  • Psychiatry Physician
  • Ventura, CA
  • NPI 1922262724
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1481846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481846400000",
    "number": "1801330345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 MAPLE CT",
            "address_2": "SUITE 107",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033517",
            "telephone_number": "805-256-5527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 MAPLE CT",
            "address_2": "SUITE 107",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033517",
            "telephone_number": "805-256-5527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANE LI MD PSYCHIATRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-16",
        "last_updated": "2016-12-16",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-256-5527",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A104298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Ventura, CA
• Providers in Ventura, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.