Janet Louise Fossum, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY18740 Issued in CA

Practice address

101 The City Dr S
BLDG 3, Route 81
Orange, CA 92868-3201

Phone

(714) 456-5902

Fax

(714) 456-5112

NPI assigned

Oct 16, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• UC Irvine Health - Dept. of Psychiatry

  • Adult Mental Health Clinic/Center
  • Irvine, CA
  • NPI 1922474113
  NPD (past)
• Uci Psych Practice Group

  • Psychiatry Physician
  • Irvine, CA
  • NPI 1134236250
  NPD (past)

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871673954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 54739",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900540739",
            "telephone_number": "714-456-5902",
            "fax_number": "714-456-5112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 THE CITY DR S",
            "address_2": "BLDG 3, ROUTE 81",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683201",
            "telephone_number": "714-456-5902",
            "fax_number": "714-456-5112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSSUM",
        "first_name": "JANET",
        "middle_name": "LOUISE",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY18740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyson Karina Fortuna
• Angelica Fortuna
• Zoe Fortuna
• Courtney Fosnaugh-Gonzales
• Sabrina Isabel Fossi
• Ashli Marie Foster, L.AC.
• Jennifer Anne Foster, B.A PSCHOLOGY
• Robin Foster
• Gianna Fote
• Peter Anthony Fotinakes, M.D.

• Clinical Psychologist in Orange, CA
• Providers in Orange, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.