Jack Ito, PHD

ActiveIndividual ProviderClinical Psychologist
NPI issued: January 11, 2006

Quick Facts

NPI Number
1710966593
TypeIndividual
StatusActive
SpecialtyClinical Psychologist
Taxonomy103TC0700X — Clinical Psychologist
Phone
(760) 830-2782
StateCA

NPI Validation Status: Verified

Valid 10-digit NPI number (1710966593)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (January 11, 2006)
Data source: CMS NPPES

Provider Overview

JACK ITO, PHD is a Clinical Psychologist provider based in 29 Palms, CA who has been registered with CMS since 2006. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1710966593
Provider TypeIndividual Provider
GenderMale
CredentialPHD
StatusActive
Enumeration DateJanuary 11, 2006

Practice Location

City29 Palms
StateCA
ZIP Code92278
Phone(760) 830-2782

Specialties & Licenses

★ Primary
SpecialtyClinical Psychologist
Taxonomy Code103TC0700X
License StateCA

Mailing Address

City29 Palms
StateCA
ZIP Code92278
Phone(760) 830-2782
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1710966593 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1710966593for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1710966593 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Clinical Psychologist

Specialists in Clinical Psychologist provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

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75,968
Clinical Psychologist Providers in the US

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People Also Ask

What is Jack Ito's NPI number?
Jack Ito's NPI number is 1710966593, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Jack Ito's NPI currently active?
Yes, Jack Ito's NPI status is Active as of the latest CMS NPPES database updates.
What does Jack Ito specialize in?
Jack Ito specializes in Clinical Psychologist. The healthcare taxonomy code associated with this specialty is 103TC0700X.
Where does Jack Ito practice?
Jack Ito practices in 29 Palms, CA 92278.
When was Jack Ito's NPI issued?
Jack Ito's NPI was issued on January 11, 2006.
What is Jack Ito's provider type?
Jack Ito is registered as an Individual Provider under CMS NPI Type 1.