JACOB GISIS
NPI 1104074160
Psychologist in Encino, CA
About Jacob Gisis NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACOB GISIS (NPI 1104074160) is an individual psychologist in Encino, California, licensed in California (PSY30023) and active in the NPI registry since September 2008. He has opted out of Medicare through January 18, 2027.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Jacob Gisis 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 January 18, 2025 through January 18, 2027.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ENCINO, CA 91436
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 Jacob Gisis's NPI number?
The NPI number for Jacob Gisis is 1104074160. It was assigned to this individual provider in the NPPES registry on September 3, 2008.
Where is Jacob Gisis located?
Jacob Gisis practices at 16055 Ventura Blvd Ste 715, Encino, CA 91436. The listed phone number is (323) 807-6381.
What is Jacob Gisis's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Jacob Gisis enrolled in Medicare?
No. Jacob Gisis has opted out of Medicare through January 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 Jacob Gisis was last updated on February 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.