Active NPI
Jodi S. Larman
- Clinical Psychologist
- Simi Valley, CA
National Provider Identifier
1972532802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY20301
- Practice address
- 2650 Jones Way Ste 10
Simi Valley, CA 93065-1215 - Phone
- (805) 522-1844
- Fax
- (805) 522-5345
- NPI assigned
- Jul 2, 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY20301 | CA | Primary |
Addresses
Primary practice location
2650 Jones Way Ste 10
Simi Valley, CA 93065-1215
Mailing address
PO Box 8014
Northridge, CA 91327-8014
Phone (818) 516-5689
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PSY203010 | Medicaid | CA |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972532802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8014",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913278014",
"telephone_number": "818-516-5689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2650 JONES WAY STE 10",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930651215",
"telephone_number": "805-522-1844",
"fax_number": "805-522-5345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARMAN",
"first_name": "JODI",
"middle_name": "S.",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY20301",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PSY203010",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Simi Valley, CA
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.