Individual provider Active NPI

Amy Karen Jaffey, PHD

  • Psychologist
  • Oxnard, CA
National Provider Identifier
1841305539
Registry record updated Feb 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY13214 Issued in CA
Practice address
300 E Esplanade Dr
Suite 900
Oxnard, CA 93036-1238
Phone
(805) 981-3982
Fax
(805) 988-0570
NPI assigned
Aug 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY13214 CA Primary

Addresses

Primary practice location

300 E Esplanade Dr
Suite 900
Oxnard, CA 93036-1238

Mailing address

300 E Esplanade Dr
Suite 900
Oxnard, CA 93036-1238
Phone (805) 981-3982

Other identifiers 5

IdentifierTypeStateIssuer
6157290OtherUNITED HEALTHCARE
300401OtherSEAVIEW IPA
073312OtherMANAGED HEALTH
908501OtherPACIFICARE
OPL132140OtherBLUE SHIELD

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
I20120322000313 CA Practitioner - Clinical Psychologist 3870753213 Practice locations: Oxnard, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

300 E Esplanade Dr
Suite 900
Oxnard, CA 93036-1275
Phone (805) 981-3982

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13214CAMDMental Health Counselor
PSY13214CAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203984000000",
    "number": "1841305539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E ESPLANADE DR",
            "address_2": "SUITE 900",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930361238",
            "telephone_number": "805-981-3982",
            "fax_number": "805-988-0570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E ESPLANADE DR",
            "address_2": "SUITE 900",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930361238",
            "telephone_number": "805-981-3982",
            "fax_number": "805-988-0570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAFFEY",
        "first_name": "AMY",
        "middle_name": "KAREN",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2008-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY13214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "6157290",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SEAVIEW IPA",
            "identifier": "300401",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED HEALTH",
            "identifier": "073312",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFICARE",
            "identifier": "908501",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "OPL132140",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxnard, CA

Sources for this page

Verify at the official NPI Registry.