Jeri A Doane, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY5736 Issued in CA

Practice address

9201 Wilshire Blvd Ste 207
Beverly Hills, CA 90210-5513

Phone

(310) 883-8696

Fax

(310) 826-9345

NPI assigned

Apr 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

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Outreach Mental Health a Psychology Corporation

  • Clinical Psychologist
  • Beverly Hills, CA
  • NPI 1811357551
  NPD

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686873600000",
    "number": "1801859301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3019 WILSHIRE BLVD STE 294",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904032301",
            "telephone_number": "310-883-8696",
            "fax_number": "310-826-9345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 WILSHIRE BLVD STE 207",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105513",
            "telephone_number": "310-883-8696",
            "fax_number": "310-826-9345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOANE",
        "first_name": "JERI",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-07",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY5736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PSY057363",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Discovery Practice Management, Inc
• Jack Ditlove, M.D.
• Kristin Marie Dittmar, M.D.
• DNB Footcare Ca PC
• Lanvi Thuy DO, DDS
• Doctor Michele, LLC
• Doctor Retina
• William Dodd, HAD
• Suhail Y Dohad, M.D.
• Doheny Endosurgical Center Inc

• Clinical Psychologist in Beverly Hills, CA
• Providers in Beverly Hills, 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 16, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.