Individual provider · Type 1 NPI

Jacob Gisis

Psychologist · Encino, CA

NPI number 1104074160 Active

Practice location

16055 Ventura Blvd Ste 715
Encino, CA 91436-2610

Call (323) 807-6381 Map

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000XPSY30023 (CA)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1104074160

Jacob Gisis's National Provider Identifier is 1104074160, issued on Sep 3, 2008. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Encino, CA. The record was last updated on Feb 3, 2026.