Dr Jessica Ivener, PSYD, LAADC is a
Psychologist - Clinical based in Woodland Hills, California. Dr Jessica Ivener is licensed to practice in California (license number PSY35232) and her current practice location is
5850 Canoga Ave Fl 4, Woodland Hills, California. She can be reached at her office (for appointments etc.) via phone at
(805) 908-1866.
NPI number for Dr Jessica Ivener is 1063004182 and her current mailing address is 5850 Canoga Ave Fl 4, Woodland Hills, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063004182.
Healthcare Provider's Profile
Full Name | Dr Jessica Ivener |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 5850 Canoga Ave Fl 4, Woodland Hills, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1063004182
- Provider Enumeration Date: 02/10/2021
- Last Update Date: 01/21/2025
Medical Identifiers
Medical identifiers for Dr Jessica Ivener such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063004182 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | LCI11100418 (California) | Secondary |
103TC0700X | Psychologist - Clinical | PSY35232 (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 Jessica Ivener 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 Address | Practice Location Address |
Dr Jessica Ivener, PSYD, LAADC 5850 Canoga Ave Fl 4, Woodland Hills, CA 91367-6554 Ph: (805) 908-1866 | Dr Jessica Ivener, PSYD, LAADC 5850 Canoga Ave Fl 4, Woodland Hills, CA 91367-6554 Ph: (805) 908-1866 |
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