Active NPI
Jaime Kay Cherry, EDD
- School Psychologist
- Banning, CA
National Provider Identifier
1841753837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 210197318
- Practice address
- 161 W Williams St
Banning, CA 92220-4798 - Phone
- (951) 922-0200
- NPI assigned
- Apr 8, 2019
- Last updated
- Sep 27, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 210197318 | CA | |
| Mental Health Counselor | 101YM0800X | 210197318 | CA | |
| School Counselor | 101YS0200X | 210197318 | CA | |
| Psychologist | 103T00000X | 210197318 | CA | |
| Cognitive & Behavioral Psychologist | 103TB0200X | 210197318 | CA | |
| Counseling Psychologist | 103TC1900X | 210197318 | CA | |
| School Psychologist | 103TS0200X | 210197318 | CA | Primary |
Addresses
Primary practice location
161 W Williams St
Banning, CA 92220-4798
Mailing address
161 W Williams St
Banning, CA 92220-4798
Phone (951) 922-0200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 210197318 | CA | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695772800000",
"number": "1841753837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "161 W WILLIAMS ST",
"city": "BANNING",
"state": "CA",
"postal_code": "922204798",
"telephone_number": "951-922-0200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 W WILLIAMS ST",
"city": "BANNING",
"state": "CA",
"postal_code": "922204798",
"telephone_number": "951-922-0200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHERRY",
"first_name": "JAIME",
"middle_name": "KAY",
"name_prefix": "Dr.",
"credential": "EDD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-08",
"last_updated": "2023-09-27",
"certification_date": "2023-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CA",
"license": "210197318",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "210197318",
"primary": false
},
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "CA",
"license": "210197318",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "210197318",
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "CA",
"license": "210197318",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "CA",
"license": "210197318",
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "CA",
"license": "210197318",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Banning, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.