Jiwandeep S Kohli, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

35300 Issued in CA

Practice address

4573 Twain Ave Apt 111
San Diego, CA 92120-4126

Phone

(310) 309-7468

NPI assigned

Feb 3, 2025

Last updated

Feb 3, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Berkeley Northeastern State University - College of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Minder Neuropsychological Services IncGroup PAC ID 8729442819, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• Minder Neuropsychological Services Inc.

  dba Minder Memory Center

  • Psychologist
  • San Diego, CA
  • NPI 1316637200
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1738540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1972317766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4573 TWAIN AVE APT 111",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921204126",
            "telephone_number": "310-309-7468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4573 TWAIN AVE APT 111",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921204126",
            "telephone_number": "310-309-7468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHLI",
        "first_name": "JIWANDEEP",
        "middle_name": "S",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-03",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "35300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zahal Kohistani
• Brooke Kohl
• Krista Lyn Kohl, PH.D.
• Robin Gail Kohler, L.AC.
• Steven W. Kohler, MD
• Kanchan Kohli, MD
• Kara Ann Kohnen, LMFT
• George Dimitri Kohout, DDS
• Nevanna Ingeborg Koicheff, DDS
• Koinonia Foster Homes, Inc. (Koinonia Family Services)

• Clinical Psychologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; 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.