DR. JACQUELINE A JOSEPHSON PSY.D
NPI 1013060631
Psychologist - Clinical in Newport Beach, CA

Q: What is Jacqueline Josephson's NPI number?

The NPI number for Jacqueline Josephson is 1013060631. It was assigned to this individual provider in the NPPES registry on January 18, 2007.

Q: What is Jacqueline Josephson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since January 18, 2007PECOS EnrolledAccepts Medicare Assignment

1400 QUAIL ST STE 136, NEWPORT BEACH, CA 92660(510) 686-3306 Get Directions Write a Review

NPPES record last updated: November 15, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 15, 2022, Nov 7, 2022, May 24, 2021 and 1 more (4 updates tracked since 2019).

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About Dr. Jacqueline A Josephson Psy.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACQUELINE A JOSEPHSON PSY.D (NPI 1013060631) is an individual clinical provider in Newport Beach, California, licensed in California (PSY 24070) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1013060631

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. JACQUELINE A JOSEPHSONCredential: PSY.D

Location Address1400 QUAIL ST STE 136Newport Beach, CA 92660-2788

Mailing Address3916 N Potsdam Ave # 3978Sioux Falls, SD 57104-7048 · (510) 686-3306

Phone(510) 686-3306

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateJanuary 18, 2007

Last NPPES UpdateNovember 15, 20224 updates tracked since enumeration

NPPES CertifiedNovember 15, 2022

✔ NPI 1013060631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · PSY 24070

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.

1400 QUAIL ST STE 136, Newport Beach, CA 92660

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jacqueline A Josephson Psy.d is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1658526850

PECOS Enrollment IDI20130219000103

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Jacqueline Josephson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sud Specialty Group - Ca

346 mi

Addiction Medicine

4633 OLD IRONSIDES DR STE 304
Santa Clara, CA 95054

Reassigned Medicare billing, California enrollment
1,607 clinicians in this Medicare group

NPI 1972138238 (323) 205-7088

Bridge Psychological Services, Inc.

378 mi

Counseling

410 12TH ST STE 325
Oakland, CA 94607

Reassigned Medicare billing, California enrollment
3 clinicians in this Medicare group

NPI 1417462011 (510) 338-3325

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.

606 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92660 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$187.60 typical visit price

range $62.96 – $187.60

Typical copayment $46.90 (range $15.74 – $46.90)

Most-billed visit code 99205

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. JENNIFER MARIE LEATH PSYD

Psychologist (Clinical)

1400 QUAIL ST STE 136
NEWPORT BEACH, CA 92660

Orange County (949) 385-2775

COASTAL PSYCHOLOGICAL SERVICES, INC.

Psychologist (Clinical)

1400 QUAIL ST STE 136
NEWPORT BEACH, CA 92660

Orange County (949) 385-2775

DR. CARLOS XAVIER MONTANO JR. PSY.D.

Psychologist (Clinical)

1400 QUAIL ST STE 136
NEWPORT BEACH, CA 92660

Orange County (949) 478-1487

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Josephson's NPI number?

The NPI number for Jacqueline Josephson is 1013060631. It was assigned to this individual provider in the NPPES registry on January 18, 2007.

Where is Jacqueline Josephson located?

Jacqueline Josephson practices at 1400 Quail St Ste 136, Newport Beach, CA 92660. The listed phone number is (510) 686-3306.

What is Jacqueline Josephson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Jacqueline Josephson enrolled in Medicare?

Yes. Jacqueline Josephson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jacqueline Josephson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Josephson reassigns Medicare benefits to 2 organizations: Sud Specialty Group - Ca (Santa Clara, CA) and Bridge Psychological Services, Inc. (Oakland, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacqueline Josephson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jacqueline Josephson was last updated on November 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.