Jennifer Geren, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

26720 Issued in CA

Practice address

11835 W Olympic Blvd Ste 1265E
Los Angeles, CA 90064

Phone

(310) 273-4843

Fax

(310) 273-5053

NPI assigned

Jan 21, 2015

Last updated

Mar 11, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jennifer Kellough Former name

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

Specialty

Clinical Psychologist

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pacific Coast RehabilitationGroup PAC ID 9931509882, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Pacific Coast Rehabilitation

  • Physical Medicine & Rehabilitation Physician
  • Escondido, CA
  • NPI 1336714294
  Medicare reassignment Care Compare group NPD
• Beyond Insight Psychological Services, Inc.

  • Clinical Psychologist
  • Escondido, CA
  • NPI 1669226296
  NPD Authorized official
• Executive Mental Health, Inc.

  • Mental Health Counselor
  • Los Angeles, CA
  • NPI 1275670036
  Medicare reassignment
• Brian Wu MD PHD Inc

  • Psychiatry Physician
  • San Gabriel, CA
  • NPI 1528639481
  NPD
• Eric Rypins MD Facs Apc

  • Specialist
  • Oceanside, CA
  • NPI 1083764708
  NPD (past)
• Salutogenesis

  • Internal Medicine Physician
  • Oceanside, CA
  • NPI 1417601345
  NPD (past)

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

{
    "created_epoch": "1421798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552262400000",
    "number": "1942699418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11835 W OLYMPIC BLVD STE 1265E",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900645814",
            "telephone_number": "310-273-4843",
            "fax_number": "310-273-5053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11835 W OLYMPIC BLVD STE 1265E",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90064",
            "telephone_number": "310-273-4843",
            "fax_number": "310-273-5053"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "734 W 14th St",
            "address_purpose": "LOCATION",
            "city": "San Pedro",
            "state": "CA",
            "postal_code": "907314009",
            "country_code": "US",
            "telephone_number": "323-312-7362",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "734 W 14th St",
            "address_purpose": "LOCATION",
            "city": "San Pedro",
            "state": "CA",
            "postal_code": "907314009",
            "country_code": "US",
            "telephone_number": "323-312-7362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEREN",
        "first_name": "JENNIFER",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-21",
        "last_updated": "2019-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "26720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "KELLOUGH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sarah Marie Gerber, NP-C
• Steven Gerber, M.D.
• Elizabeth Ann Gerberding, MA, LFMT
• Emma Laurel Gerch, ASW
• Victoria Gerdts
• Donald C. Gerety, MD
• Marian Gerges
• Julia Gergye
• Amy Gabrielle Geriak, MPT
• Seuna Gerigoryan

• Clinical Psychologist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; 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.

Verify at the official NPI Registry.