Active NPI
Susan Weisz Jurkowitz, PHD.
- Clinical Psychologist
- Los Angeles, CA
National Provider Identifier
1811920325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY15908
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PSY159080 | Medicaid | CA |
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
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 88.32 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| PSY15908 | CA | MD | Psychologist |
| 15908 | CA | MD | Acupuncturist |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2026; 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.