Active NPI
Jacqueline W Lichtenstein, MD
- Psychiatry Physician
- Encino, CA
National Provider Identifier
1912085432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- G29548
- Practice address
- 16055 Ventura Blvd
# 710
Encino, CA 91436-2610 - Phone
- (818) 986-0404
- Fax
- (818) 905-8883
- NPI assigned
- Nov 1, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | G29548 | CA | Primary |
Addresses
Primary practice location
16055 Ventura Blvd
# 710
Encino, CA 91436-2610
Mailing address
16055 Ventura Blvd # 710
Encino, CA 91436-2610
Phone (818) 986-0404
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: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101019000266 | CA | Practitioner - Psychiatry | 6002009446 | Practice locations: Encino, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- George Washington University School of Medicine, 1972
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
16055 Ventura Blvd
Suite 1110
Encino, CA 91436-2612
Phone (818) 986-0404
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G29548 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Claudia Eskenazi,PH.D.,M.F.T.,a.T.R.,Family Therapist, P.C. | Past | Accepting new patients |
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.
-
- Marriage & Family Therapist
- Encino, CA
- NPI 1730263997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1912085432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16055 VENTURA BLVD # 710",
"city": "ENCINO",
"state": "CA",
"postal_code": "914362610",
"telephone_number": "818-986-0404",
"fax_number": "818-905-8883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16055 VENTURA BLVD",
"address_2": "# 710",
"city": "ENCINO",
"state": "CA",
"postal_code": "914362610",
"telephone_number": "818-986-0404",
"fax_number": "818-905-8883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LICHTENSTEIN",
"first_name": "JACQUELINE",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "G29548",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Encino, CA
- Liauna Tolmasoff
- Libbit Surgical Center, LLC
- Liberty Pacific Medical Imaging Encino, LLC (Liberty Pacific MRI of Encino)
- Liberty Pacific Medical Imaging, LLC
- Philip M. Lichtenfeld, M.D.
- Jena K Liddy, MD
- Life Alert Emergency Response
- Life Home Health Services Inc
- Life Tree Hospice Inc
- Life Tree Hospice, Inc
Sources for this page
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.