Active NPI
Alyssa Jammal
- Family Psychologist
- Monrovia, CA
National Provider Identifier
1922598028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Psychologist
- License
- LMFT100613
- Practice address
- 140 E Colorado Blvd
Monrovia, CA 91016-5110 - Phone
- (626) 358-1564
- NPI assigned
- May 14, 2018
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | LMFT100613 | CA | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | LMFT100613 | CA | |
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | LMFT100613 | CA | |
| Family Psychologist | 103TF0000X | LMFT100613 | CA | Primary |
Addresses
Primary practice location
140 E Colorado Blvd
Monrovia, CA 91016-5110
Mailing address
PO Box 7105
Burbank, CA 91510-7105
Phone (626) 358-1564
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
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT100613 | CA | MD | Clinical Child & Adolescent Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526256000000",
"number": "1922598028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7105",
"city": "BURBANK",
"state": "CA",
"postal_code": "915107105",
"telephone_number": "626-358-1564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 E COLORADO BLVD",
"city": "MONROVIA",
"state": "CA",
"postal_code": "910165110",
"telephone_number": "626-358-1564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMMAL",
"first_name": "ALYSSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-14",
"last_updated": "2018-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "CA",
"license": "LMFT100613",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "CA",
"license": "LMFT100613",
"primary": false
},
{
"code": "103TM1800X",
"taxonomy_group": "",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": "CA",
"license": "LMFT100613",
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "CA",
"license": "LMFT100613",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monrovia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.