Dr. Jazzmin Tonai Hicks-bonam
Psychologist (Clinical)

Address: 8732 S Sepulveda Blvd Fl 2, Los Angeles, CA 90045-4031
Phone: 6614344848

Dr. Jazzmin Tonai Hicks-bonam (NPI# 1861098725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1861098725
Entity Type Individual
Full Name Dr. Jazzmin Tonai Hicks-bonam
Credential PSY.D.
Gender Female
Practice Address 8732 S Sepulveda Blvd Fl 2
Los Angeles
CA 90045-4031
Practice Telephone 6614344848
Mailing Address 43824 20th St W # 8878
Lancaster
CA 93534-5201
Mailing Telephone 3109517764
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2020-12-07
Last Update Date 2020-12-07

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 103TC0700X Psychologist · Clinical Behavioral Health & Social Service Providers 32243 CA

Other Provider Identifier

State Identifier Issuer Type Code
CA 32243 OTHER BOARD OF PSYCHOLOGY

Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

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 disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Notes: Source: American Psychological Association, www.apa.org [1/1/2019: new definition]

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Office Location

Street Address 8732 S SEPULVEDA BLVD FL 2
City LOS ANGELES
State CA
Zip Code 90045-4031

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1245889179 Ana Arias Physical Therapist 6801 Terrace Drive, Suite 200, Los Angeles, CA 90045 2019-09-04
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1821504002 Rhonda Taylor Counselor 8703 La Tijera Blvd Ste 201, Los Angeles, CA 90045 2017-12-24
1114436839 Blanca Melisa Gomez I Case Manager/Care Coordinator 7423 1/4 S Sepulveda Blvd, Los Angeles, CA 90045 2017-09-26
1639688831 Kalila Magbanua-stein Counselor 8618 La Tijera Blvd., Suite 200, Los Angeles, CA 90045 2017-09-20
1568984185 Angela Mull Marriage & Family Therapist 8616 Latijera Blvd, Suite 307, Los Angeles, CA 90045 2017-07-14
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1679937627 Thelese Consulting Group Social Worker 8929 S. Sepulveda Blvd, Suite 400, Los Angeles, CA 90045 2016-04-06
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Competitor

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City LOS ANGELES
Zip Code 90045

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Dataset Information

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.