Individual provider Active NPI

Susan Weisz Jurkowitz, PHD.

  • Clinical Psychologist
  • Los Angeles, CA
National Provider Identifier
1811920325
Registry record updated Sep 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY15908 Issued in CA
Practice address
10700 Santa Monica Blvd
Ste #315
Los Angeles, CA 90025-4702
Phone
(310) 557-0852
Fax
(310) 301-8751
NPI assigned
Jul 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY15908 CA
Clinical Psychologist 103TC0700X PSY15908 CA Primary

Addresses

Primary practice location

10700 Santa Monica Blvd
Ste #315
Los Angeles, CA 90025-4702

Mailing address

10700 Santa Monica Blvd
Ste #315
Los Angeles, CA 90025-4702
Phone (310) 557-0852

Other identifiers 1

IdentifierTypeStateIssuer
PSY159080MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.32 of 100Reported as group
Quality
76.01
Promoting interoperability
100
Improvement activities
40
Cost
56.17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY15908CAMDPsychologist
15908CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789257600000",
    "number": "1811920325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10700 SANTA MONICA BLVD",
            "address_2": "STE #315",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900254702",
            "telephone_number": "310-557-0852",
            "fax_number": "310-301-8751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 SANTA MONICA BLVD",
            "address_2": "STE #315",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900254702",
            "telephone_number": "310-557-0852",
            "fax_number": "310-301-8751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JURKOWITZ",
        "first_name": "SUSAN",
        "middle_name": "WEISZ",
        "credential": "PHD.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-08",
        "last_updated": "2026-09-13",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY15908",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY15908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PSY159080",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.