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DR. JESSICA L TAVERNITI PSY.D, BCBA-D
NPI 1134401805
Psychologist - Clinical in San Diego, CA

Active since September 19, 2011
10855 SORRENTO VALLEY RD STE 204, SAN DIEGO, CA 92121(619) 800-8145 Get Directions Write a Review

NPPES record last updated: August 30, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 30, 2022, Mar 1, 2019, Aug 17, 2016 (3 updates tracked since 2016).

About Dr. Jessica L Taverniti Psy.d, Bcba-d NPPES

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

DR. JESSICA L TAVERNITI PSY.D, BCBA-D (NPI 1134401805) is an individual clinical provider in San Diego, California, licensed in California (PSY 26598) and active in the NPI registry since September 2011.

NPPES Registry Identity

NPI1134401805
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JESSICA L TAVERNITICredential: PSY.D, BCBA-D
Location Address10855 SORRENTO VALLEY RD STE 204San Diego, CA 92121-1615
Mailing Address6455 La Jolla Blvd Unit 142La Jolla, CA 92037-6633 · (406) 570-6184
Phone(619) 800-8145
Sole ProprietorNo
Enumeration DateSeptember 19, 2011
Last NPPES UpdateAugust 30, 20223 updates tracked since enumeration
NPPES CertifiedAugust 30, 2022
✔ NPI 1134401805 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 · PSY 26598
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 ListedBehavior AnalystTaxonomy 103K00000X · License 1-11-8560 (CA)
10855 SORRENTO VALLEY RD STE 204, San Diego, CA 92121
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Other Identifiers 3

OtherPSY-PSY-LIC-3580MT · Psychology Board
OtherPSY 26598CA · Psychology Board
Other1-11-8560Behavior Analyst Certification Board

Other Providers at the Same Location NPPES

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

JOHN OLIVER LEE SISTONA MA, BCBA
Behavior Analyst
10855 SORRENTO VALLEY RD STE 204
SAN DIEGO, CA 92121
San Diego County (323) 719-6526

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 Taverniti's NPI number?

The NPI number for Jessica Taverniti is 1134401805. It was assigned to this individual provider in the NPPES registry on September 19, 2011.

Where is Jessica Taverniti located?

Jessica Taverniti practices at 10855 Sorrento Valley Rd Ste 204, San Diego, CA 92121. The listed phone number is (619) 800-8145.

What is Jessica Taverniti's specialty?

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

When was this NPI record last updated?

The NPPES record for Jessica Taverniti was last updated on August 30, 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.