Active NPI
Jasmine Jazel Reed
- Clinical Psychologist
- Carlsbad, CA
National Provider Identifier
1871814830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 30592
- Practice address
- 5838 Edison PL Ste 100
Carlsbad, CA 92008-5520 - Phone
- (951) 523-0429
- NPI assigned
- Jun 14, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | IMF 63398 | CA | |
| Clinical Psychologist | 103TC0700X | 30592 | CA | Primary |
Addresses
Primary practice location
5838 Edison PL Ste 100
Carlsbad, CA 92008-5520
Mailing address
387 Magnolia Ave Ste 103-131
Corona, CA 92879-3307
Other practice location 1
24050 Madison St Ste 100E
Torrance, CA 90505-6080
Phone (323) 325-1395
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMF 63398 | CA | MD | Marriage & Family Therapist |
| 30592 | CA | MD | Pharmacist |
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.
-
- Clinical Psychologist
- Corona, CA
- NPI 1871116053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545782400000",
"number": "1871814830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "387 MAGNOLIA AVE STE 103-131",
"city": "CORONA",
"state": "CA",
"postal_code": "928793307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5838 EDISON PL STE 100",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920085520",
"telephone_number": "951-523-0429"
}
],
"practiceLocations": [
{
"address_1": "24050 Madison St Ste 100E",
"address_purpose": "LOCATION",
"city": "Torrance",
"state": "CA",
"postal_code": "905056080",
"country_code": "US",
"telephone_number": "323-325-1395",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REED",
"first_name": "JASMINE",
"middle_name": "JAZEL",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-14",
"last_updated": "2018-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "IMF 63398",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "30592",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carlsbad, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.