Jennifer L Mitolo, PSYD in Irvine, CA - Medicare Clinical Psychologist Provider

Jennifer L Mitolo, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Irvine, California. She graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is 4040 Barranca Pkwy Ste 260, Irvine, California. You can reach out to her office (for appointments etc.) via phone at (925) 282-1778.

Jennifer L Mitolo is licensed to practice in California (license number PSY25678) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1861664088.

Contact Information

	Jennifer L Mitolo, PSYD
	4040 Barranca Pkwy Ste 260, Irvine, CA 92604-4780
	(925) 282-1778
	(415) 296-5299

Map and Direction

Healthcare Provider's Profile

Full Name	Jennifer L Mitolo
Gender	Female
Speciality	Clinical Psychologist
Experience	19 Years
Location	4040 Barranca Pkwy Ste 260, Irvine, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jennifer L Mitolo graduated from medical school in 2005

NPI Data:

NPI Number: 1861664088
Provider Enumeration Date: 03/27/2008
Last Update Date: 09/16/2024

Medicare PECOS Information:

PECOS PAC ID: 7719065804
Enrollment ID: I20130603000204

Medical Identifiers

Medical identifiers for Jennifer L Mitolo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861664088	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PSY25678 (California)	Primary
103TC0700X	Psychologist - Clinical	35SI00448400 (New Jersey)	Secondary

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. Jennifer L Mitolo is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jennifer L Mitolo, PSYD 4040 Barranca Pkwy Ste 260, Irvine, CA 92604-4780 Ph: (925) 282-1778	Jennifer L Mitolo, PSYD 4040 Barranca Pkwy Ste 260, Irvine, CA 92604-4780 Ph: (925) 282-1778

Reviews and Comments

Psychologist in Irvine, CA

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Jennifer L Mitolo, PSYD - Medicare Psychologist in Irvine, CA