Dr Jennie M Mathess, PSYD - Psychologist in Los Angeles, CA

Dr Jennie M Mathess, PSYD is a Psychologist - Clinical based in Los Angeles, California. Dr Jennie M Mathess is licensed to practice in California (license number PSY21405) and her current practice location is 840 N Avenue 66, Los Angeles, California. She can be reached at her office (for appointments etc.) via phone at (626) 395-7100.

NPI number for Dr Jennie M Mathess is 1003035304 and her current mailing address is 840 N Avenue 66, Los Angeles, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003035304.

Contact Information

Dr Jennie M Mathess, PSYD
840 N Avenue 66,
Los Angeles, CA 90042-1508
(626) 395-7100
Not Available



Healthcare Provider's Profile

Full NameDr Jennie M Mathess
GenderFemale
SpecialityPsychologist - Clinical
Location840 N Avenue 66, Los Angeles, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1003035304
  • Provider Enumeration Date: 04/25/2007
  • Last Update Date: 10/03/2012

Medical Identifiers

Medical identifiers for Dr Jennie M Mathess such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003035304NPI-NPPES
PSY21405OtherCALICENSE NUMBER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PSY21405 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jennie M Mathess is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Jennie M Mathess, PSYD
840 N Avenue 66,
Los Angeles, CA 90042-1508

Ph: (626) 395-7100
Dr Jennie M Mathess, PSYD
840 N Avenue 66,
Los Angeles, CA 90042-1508

Ph: (626) 395-7100

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