Individual provider Active NPI

Jena A Kravitz, PSY.D.

  • Clinical Neuropsychologist
  • Calabasas, CA
National Provider Identifier
1942463260
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PSY21989 Issued in CA
Practice address
4764 Park Granada Ste 101
Calabasas, CA 91302-3326
Phone
(818) 804-8492
Fax
(310) 756-1225
NPI assigned
Jul 7, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PSY21989 CA Primary

Addresses

Primary practice location

4764 Park Granada Ste 101
Calabasas, CA 91302-3326

Mailing address

22647 Ventura Blvd Ste 851
Woodland Hills, CA 91364-1416
Phone (818) 804-8492

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
I20100122000078 CA Practitioner - Clinical Psychologist 0446392971 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4764 Park Granada
Suite 101
Calabasas, CA 91302-3326
Phone (818) 804-8492

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY21989CAMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kravitz Psychological, Apc Clinical Neuropsychologist CurrentSince Jun 19, 2023 Accepting new patients
Geriatric Evaluation & Neuropsychological Services, Inc Clinical Past Accepting new patients
Persona Neuro Behavior Group Inc. Clinical Neuropsychologist PastSince Aug 15, 2017 Accepting new patients

Locations

4766 Park Granada
Ste 202
Calabasas, CA 91302
Phone (805) 358-7996

4764 Park Granada
Ste 101
Calabasas, CA 91302
Phone (818) 804-8492

22647 Ventura Blvd
Woodland Hls, CA 91364
Phone (323) 205-5019

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1215388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1942463260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22647 VENTURA BLVD STE 851",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641416",
            "telephone_number": "818-804-8492",
            "fax_number": "310-756-1225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4764 PARK GRANADA STE 101",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913023326",
            "telephone_number": "818-804-8492",
            "fax_number": "310-756-1225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAVITZ",
        "first_name": "JENA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-07",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY21989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calabasas, CA

Sources for this page

Verify at the official NPI Registry.