Individual provider Active NPI

Jazzmin Tonai Hicks-Bonam, PSY.D.

  • Clinical Psychologist
  • Torrance, CA
National Provider Identifier
1861098725
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
32243 Issued in CA
Practice address
21515 Hawthorne Blvd Ste 200
Torrance, CA 90503-6512
Phone
(661) 234-6001
Fax
(661) 459-5076
NPI assigned
Dec 7, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 32243 CA Primary

Addresses

Primary practice location

21515 Hawthorne Blvd Ste 200
Torrance, CA 90503-6512

Mailing address

21515 Hawthorne Blvd Ste 200
Torrance, CA 90503-6512
Phone (661) 234-6001

Other identifiers 1

IdentifierTypeStateIssuer
32243OtherCABOARD OF PSYCHOLOGY

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

LicenseStateTypeSpecialty
32243CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Better Psych Services Corp Clinical Current Accepting new patients

Locations

21515 Hawthorne Blvd
Ste 200
Torrance, CA 90503
Phone (310) 371-7984

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1607299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1861098725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21515 HAWTHORNE BLVD STE 200",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905036512",
            "telephone_number": "661-234-6001",
            "fax_number": "661-459-5076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21515 HAWTHORNE BLVD STE 200",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905036512",
            "telephone_number": "661-234-6001",
            "fax_number": "661-459-5076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS-BONAM",
        "first_name": "JAZZMIN",
        "middle_name": "TONAI",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-07",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "32243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PSYCHOLOGY",
            "identifier": "32243",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.