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DR. JESSICA IVENER PSYD, LAADC
NPI 1063004182
Psychologist - Clinical in Woodland Hills, CA

Active since February 10, 2021Opted out of Medicare · through Nov 18, 2027
5850 CANOGA AVE FL 4, WOODLAND HILLS, CA 91367(805) 908-1866 Get Directions Write a Review

NPPES record last updated: January 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2021, Feb 10, 2021 (2 updates tracked since 2021).

About Dr. Jessica Ivener Psyd, Laadc NPPES

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

DR. JESSICA IVENER PSYD, LAADC (NPI 1063004182) is an individual clinical provider in Woodland Hills, California, licensed in California (PSY35232) and active in the NPI registry since February 2021. She has opted out of Medicare through November 18, 2027.

NPPES Registry Identity

NPI1063004182
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JESSICA IVENERCredential: PSYD, LAADC
Location Address5850 CANOGA AVE FL 4Woodland Hills, CA 91367-6554
Mailing Address5850 Canoga Ave Fl 4Woodland Hills, CA 91367-6554 · (805) 908-1866
Phone(805) 908-1866
Sole ProprietorYes
Enumeration DateFebruary 10, 2021
Last NPPES UpdateJanuary 21, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2025
✔ NPI 1063004182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · PSY35232
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.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License LCI11100418 (CA)
5850 CANOGA AVE FL 4, Woodland Hills, CA 91367
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Jessica Ivener Psyd, Laadc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 18, 2025 through November 18, 2027.

Opt-Out Effective DateNovember 18, 2025
Opt-Out In Effect ThroughNovember 18, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 2

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

SUSAN M. FOSNOT, PHD SPEECH THERAPIST INC.
Speech-Language Pathologist
5850 CANOGA AVE FL 4
WOODLAND HILLS, CA 91367
Los Angeles County (818) 884-9110
SUSAN MEYERS FOSNOT PHD , CCC-SLP, BCS-F
Speech-Language Pathologist
5850 CANOGA AVE FL 4
WOODLAND HILLS, CA 91367
Los Angeles County (818) 884-9110

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 Jessica Ivener's NPI number?

The NPI number for Jessica Ivener is 1063004182. It was assigned to this individual provider in the NPPES registry on February 10, 2021.

Where is Jessica Ivener located?

Jessica Ivener practices at 5850 Canoga Ave Fl 4, Woodland Hills, CA 91367. The listed phone number is (805) 908-1866.

What is Jessica Ivener's specialty?

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

Is Jessica Ivener enrolled in Medicare?

No. Jessica Ivener has opted out of Medicare through November 18, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jessica Ivener was last updated on January 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.