Individual provider · Type 1 NPI
Gregory Jacks, PSYD
Clinical Psychologist · Los Angeles, CA
Practice location
10380 Wilshire Blvd Apt 1103
Los Angeles, CA 90024-4756
Mailing address
4 Quarterdeck St Apt 1
Marina Del Rey, CA 90292-6757
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Psychologist Primary | 103TC0700X | PSY35526 (CA) |
Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…
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About NPI 1508668476
Gregory Jacks, PSYD's National Provider Identifier is 1508668476, issued on Mar 24, 2025. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Los Angeles, CA. The record was last updated on Mar 24, 2025.