Individual provider Active NPI

Jeffrey S Garrett, PSY.D.

  • Clinical Psychologist
  • Placentia, CA
National Provider Identifier
1861515850
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY 16695 Issued in CA
Practice address
151 N Kraemer Blvd Ste 224
Placentia, CA 92870-5081
Phone
(657) 229-5229
NPI assigned
Apr 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 4671481 ID
Clinical Psychologist 103TC0700X PSY 16695 CA Primary

Addresses

Primary practice location

151 N Kraemer Blvd Ste 224
Placentia, CA 92870-5081

Mailing address

101 S Kraemer Blvd
Suite 110
Placentia, CA 92870-6105
Phone (714) 577-0400

Other practice location 1

9030 N Hess St # 1030
Hayden, ID 83835-9827
Phone (657) 229-5229

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
I20040225000809 CA Practitioner - Clinical Psychologist 0840186946 Practice locations: Placentia, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

151 N Kraemer Blvd
Suite 224
Placentia, CA 92870-5081
Phone (657) 229-5229

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY 16695CAMDClinical Psychologist
4671481IDMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1861515850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S KRAEMER BLVD",
            "address_2": "SUITE 110",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928706105",
            "telephone_number": "714-577-0400",
            "fax_number": "714-577-0408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 N KRAEMER BLVD STE 224",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928705081",
            "telephone_number": "657-229-5229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9030 N Hess St # 1030",
            "address_purpose": "LOCATION",
            "city": "Hayden",
            "state": "ID",
            "postal_code": "838359827",
            "country_code": "US",
            "telephone_number": "657-229-5229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARRETT",
        "first_name": "JEFFREY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-06",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "ID",
            "license": "4671481",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 16695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Placentia, CA

Sources for this page

Verify at the official NPI Registry.