DR. JENNA I METELLUS (NPI# 1891043865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891043865 |
| Entity Type | Individual |
| Full Name | DR. JENNA I METELLUS |
| Other Name | MS. JENNA I WASHINGTON |
| Credential | PSYD |
| Practice Address |
6320 Canoga Ave Woodland Hills CA 91367-2526 |
| Mailing Address |
Po Box 57064 Sherman Oaks CA 91413-2064 |
| Practice Telephone | 8182275000 |
| Enumeration Date | 2012-08-24 |
| Last Update Date | 2020-04-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CA | Behavioral Health & Social Service Providers | |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
30486 | CA | Behavioral Health & Social Service Providers |
| N | 225C00000X | Rehabilitation Counselor | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
6320 CANOGA AVE |
| City | WOODLAND HILLS |
| State | CA |
| Zip Code | 91367-2526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336769272 | Affinityx, LLC | Clinic/Center | 6320 Canoga Ave, Woodland Hills, CA 91367-2526 | 2020-04-21 |
| 1770975914 | So. Cal. Child Therapy | Social Worker | 6320 Canoga Ave, 15th Floor, Woodland Hills, CA 91367-2526 | 2015-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144837386 | Welby Way Home LLC | Hospice Care, Community Based | 21550 Oxnard St., 3rd Floor Suite # 57, Woodland Hills, CA 91367 | 2020-09-30 |
| 1821619180 | Jmg Recovery, Inc | Substance Abuse Rehabilitation Facility | 23043 Hatteras Street, Woodland Hills, CA 91367 | 2020-04-28 |
| 1952952137 | Carol L. Frankel | Technician | 22616 Victory Blvd., Woodland Hills, CA 91367 | 2019-09-27 |
| 1346890191 | Sharie Renell Boudreaux | Behavioral Analyst | 210600 Oxnard St, Suite 1800, Woodland Hills, CA 91367 | 2019-09-13 |
| 1104381631 | Victor Fernando Tovar | Behavior Technician | 21600 Oxnard Street, Suite 1030, Woodland Hills, CA 91367 | 2019-02-08 |
| 1982173076 | Tefany Cheam | Behavioral Analyst | 216000 Oxnard St., Suite 1800, Woodland Hills, CA 91367 | 2018-11-19 |
| 1205301520 | Basso Pharmacy, Inc. | Pharmacy | 5952 & 5954 Fallbrook Avenue, Woodland Hills, CA 91367 | 2018-10-13 |
| 1255813523 | Annemarie Fine | Behavioral Analyst | 21609 Oxnard St Ste 1800, Woodland Hills, CA 91367 | 2018-09-04 |
| 1730661166 | Paige Sefton | Marriage & Family Therapist | 21333 Oxnard St., Woodland Hills, CA 91367 | 2018-09-01 |
| 1073095402 | Rosalia Hernandez | Behavioral Analyst | 21600 Oxnard St Ste, Woodland Hills, CA 91367 | 2018-09-01 |
| Find all providers in zip 91367 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801353271 | Hamideh Golestaneh | Psychologist | 21031 Ventura Blvd Ste 307, Woodland Hills, CA 91364-2288 | 2019-02-21 |
| 1588033963 | Saman Mohseni | Psychologist | 20316 Coulson St, Woodland Hills, CA 91367-5515 | 2015-09-16 |
| 1962746396 | Jenniffer Dawn Lewis | Psychologist | 22028 Ventura Blvd Ste 207, Woodland Hills, CA 91364-1657 | 2012-11-26 |
| 1568742567 | Daniel Oakley | Psychologist | 6330 Variel Ave, Suite 102, Woodland Hills, CA 91367-2543 | 2011-08-22 |
| 1083927651 | Sarah Schwartz | Psychologist | 6150 Canoga Ave, 419, Woodland Hills, CA 91367-3705 | 2010-07-23 |
| 1376879874 | Traci Time | Psychologist | 22900 Ventura Blvd Ste 260, Woodland Hills, CA 91364-5803 | 2009-10-19 |
| 1356590335 | Mary Anne Rust | Psychologist | 21551 Burbank Blvd, Suite 87, Woodland Hills, CA 91367-6625 | 2008-09-15 |
| 1033391735 | Patricia Luce Pope | Psychologist | 4627 Morro Dr, Woodland Hills, CA 91364-4542 | 2007-12-04 |
| 1154542215 | Christine B. Dehaan | Psychologist | 21241 Ventura Blvd., 267, Woodland Hills, CA 91364 | 2007-05-02 |
| 1376688374 | Jacqueline Kristine Koppers | Psychologist | 5341 Alhama Dr Ste 5, Woodland Hills, CA 91364-2127 | 2007-02-20 |
| Find all providers in WOODLAND HILLS | ||||
| City | WOODLAND HILLS |
| Zip Code | 91367 |
Please comment or provide details below to improve the information on DR. JENNA I METELLUS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.