DR. CARMENITA JILES PHD - NPI 1083869440 - Psychologist in Stockton, CA

Q: What is Carmenita Jiles's NPI number?

The NPI number for Carmenita Jiles is 1083869440. It was assigned to this individual provider in the NPPES registry on November 25, 2008. The provider is also known as Carmenita Jiles-Nabwe Phd.

Q: What is Carmenita Jiles's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Carmenita Jiles was last updated on September 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Carmenita Jiles Phd NPPES

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

DR. CARMENITA JILES PHD (NPI 1083869440) is an individual clinical provider in Stockton, California, licensed in California (PSY31243) and active in the NPI registry since November 2008. She maintains a secondary practice location in Berkeley.

NPPES Registry Identity

NPI1083869440

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. CARMENITA JILESCredential: PHD

Location Address7707 AUSTIN RDStockton, CA 95215-8312

Mailing Address153 W Invitar LnMountain House, CA 95391-2036 · (510) 415-4038

Phone(209) 467-2500

Sole ProprietorNo

Enumeration DateNovember 25, 2008

Last NPPES UpdateSeptember 6, 2023

NPPES CertifiedSeptember 6, 2023

✔ NPI 1083869440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · PSY31243

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 ListedCounselorTaxonomy 101Y00000X

Also ListedPsychologistTaxonomy 103T00000X

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

7707 AUSTIN RD, Stockton, CA 95215

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Other Names 1

Other Name (5)Carmenita Jiles-nabwe Phd

Secondary Practice Location 1

Location 13200 Adeline StBerkeley, CA 94703-2407 · Phone (510) 601-0203 · Fax (510) 601-4002

Other Providers at the Same Location NPPES 20

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

NICOLE TAKLA PSYD

Psychologist (Clinical)