DR. TIMOTHY JACK (NPI# 1891949723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891949723 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY JACK |
| Credential | MD |
| Practice Address |
5316 Sylmar Ave Sherman Oaks CA 91401-5612 |
| Practice Telephone | 8187280720 |
| Enumeration Date | 2008-11-05 |
| Last Update Date | 2008-11-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
G85727 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
5316 SYLMAR AVE |
| City | SHERMAN OAKS |
| State | CA |
| Zip Code | 91401-5612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467004101 | Express Homeservice Inc | Home Health | 13515 Victory Blvd Suite 207, Van Nuys, CA 91401 | 2019-07-12 |
| 1285192690 | Community Care Hospice,inc. | Hospice Care, Community Based | 13629 1/2 Victory Blvd., Van Nuys, CA 91401 | 2019-03-05 |
| 1124501242 | Steven Vu Pham | Pharmacist | 5601 Van Nuys Boulevard, Sherman Oaks, CA 91401 | 2018-09-14 |
| 1184116469 | Well Care Home Health Care Inc | Home Health | 13735 Victory Blvd Ste 3, Van Nuys, CA 91401 | 2018-06-03 |
| 1821504911 | Martha J Rivas-mendoza | Specialist/Technologist | 3130 Burbank Blvd, Sherman Oaks, CA 91401 | 2017-12-27 |
| 1780104687 | Jessica Tang | Marriage & Family Therapist | 13130 Burbank Boulevard, Sherman Oaks, CA 91401 | 2017-06-21 |
| 1184152530 | Creative Approach Residential Inc. | Clinic/Center | 5348 Allott Ave., Sherman Oaks, CA 91401 | 2017-05-30 |
| 1578004503 | David Mashadian Chiropractic Dc Inc | Chiropractor | 14401 Sylvan St #101, Van Nuys, CA 91401 | 2017-03-09 |
| 1154872414 | A.n.t. Hospice Inc | Hospice Care, Community Based | 13629 1/2 Victory Blvd, Van Nuys, CA 91401 | 2016-10-20 |
| 1245785070 | Jack Bayraymyan Dental Group Inc. | Dentist | 14424 Victory Blvd., Van Nuys, CA 91401 | 2016-08-22 |
| Find all providers in zip 91401 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629601588 | Trilok Shah, Md | Psychiatry & Neurology | 15335 Morrison St Ste 385, Sherman Oaks, CA 91403-1571 | 2020-02-19 |
| 1275036188 | San Fernando Valley Community Mental Health Center, Inc. | Psychiatry & Neurology | 5041 Sunnyslope Ave, Sherman Oaks, CA 91423-1445 | 2018-03-16 |
| 1205281557 | Michael Broukhim | Psychiatry & Neurology | 4515 Sherman Oaks Ave, Sherman Oaks, CA 91403-3820 | 2016-04-24 |
| 1154759637 | Javapsychiatry | Psychiatry & Neurology | 13425 Ventura Blvd Ste 102, Sherman Oaks, CA 91423-3995 | 2013-10-21 |
| 1225274509 | Anatoly Postolov M.d., A Professional Medical Corporation | Psychiatry & Neurology | 13749 Riverside Dr Ste 200, Sherman Oaks, CA 91423-2446 | 2008-12-17 |
| 1457520009 | Maria I Seliverstov | Psychiatry & Neurology | 4835 Van Nuys Blvd Ste 104, Sherman Oaks, CA 91403-2131 | 2008-02-28 |
| 1346430022 | Alan L Schneider Md Professional Corporation | Psychiatry & Neurology | 4558 Sherman Oaks Ave Ste D, Sherman Oaks, CA 91403-3017 | 2007-07-27 |
| 1760569263 | Galina Lensky | Psychiatry & Neurology | 4419 Van Nuys Blvd Ste 302, Sherman Oaks, CA 91403-5726 | 2006-11-01 |
| 1801908397 | Talin Arsen Dadoyan | Psychiatry & Neurology | 4955 Van Nuys Blvd Ste 301, Sherman Oaks, CA 91403-1815 | 2006-08-31 |
| 1740296136 | Alexander I Niss | Psychiatry & Neurology | 13739 Riverside Dr Ste B, Sherman Oaks, CA 91423-2417 | 2006-07-31 |
| Find all providers in SHERMAN OAKS | ||||
| City | SHERMAN OAKS |
| Zip Code | 91401 |
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| 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.