DR. JERRY DASH PH.D.
NPI 1164587846
Psychologist - Clinical in Burbank, CA

Q: What is Jerry Dash's NPI number?

The NPI number for Jerry Dash is 1164587846. It was assigned to this individual provider in the NPPES registry on December 24, 2006.

Q: What is Jerry Dash's specialty?

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

Q: Is Jerry Dash enrolled in Medicare?

No. Jerry Dash has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Jerry Dash was last updated on June 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since December 24, 2006Opted out of Medicare · through Jan 1, 2027

421 E ANGELENO AVE, SUITE 205, BURBANK, CA 91501(818) 846-0797(818) 846-0440 Get Directions Write a Review

NPPES record last updated: June 25, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Jerry Dash Ph.d. NPPES

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

DR. JERRY DASH PH.D. (NPI 1164587846) is an individual clinical provider in Burbank, California, licensed in California (PSY 5344) and active in the NPI registry since December 2006. He has opted out of Medicare through January 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1164587846

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. JERRY DASHCredential: PH.D.

Location Address421 E ANGELENO AVE, SUITE 205Burbank, CA 91501-2286

Mailing Address421 E Angeleno Ave, Suite 205Burbank, CA 91501-2286 · (818) 846-0797 · Fax (818) 846-0440

Phone(818) 846-0797

Fax(818) 846-0440

Sole ProprietorYes

Enumeration DateDecember 24, 2006

Last NPPES UpdateJune 25, 2008

✔ NPI 1164587846 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 5344

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.

421 E ANGELENO AVE, Burbank, CA 91501

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Other Identifiers 1

Medicare UPINR15273

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. Jerry Dash Ph.d. 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 1, 2019 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2019

Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91501 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 12

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

RAHIM SHAPOORY M.D. INC.

Otolaryngology

421 E ANGELENO AVE, SUITE 102
BURBANK, CA 91501

Los Angeles County (818) 845-6800

DR. GEORGE VALDEZ DDS

Dentist (General Practice)

421 E ANGELENO AVE, SUITE 101
BURBANK, CA 91501

Los Angeles County (818) 846-7072

MANSOOR KARAMOOZ, M.D., INC

Urology

421 E ANGELENO AVE, SUITE 202
BURBANK, CA 91501

Los Angeles County (818) 845-6300

DR. WILLIAM AKOP DDS

Dentist (General Practice)

421 E ANGELENO AVE, 203
BURBANK, CA 91501

Los Angeles County (818) 845-4495

SEDLER DENTAL CORPORATION

Dentist (General Practice)

421 E ANGELENO AVE, #206
BURBANK, CA 91501

Los Angeles County (818) 846-3377

DR. HANG TRAN DDS

Dentist

421 E ANGELENO AVE, SUITE 104
BURBANK, CA 91501

Los Angeles County (818) 557-0464

AC AND CS

Social Worker (Clinical)

421 E ANGELENO AVE, SUITE 105
BURBANK, CA 91501

Los Angeles County (818) 658-5502

DR. REES A SMITH D.D.S.

Dentist (General Practice)

421 E ANGELENO AVE, # 201
BURBANK, CA 91501

Los Angeles County (818) 841-3142

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 Jerry Dash's NPI number?

The NPI number for Jerry Dash is 1164587846. It was assigned to this individual provider in the NPPES registry on December 24, 2006.

Where is Jerry Dash located?

Jerry Dash practices at 421 E Angeleno Ave Suite 205, Burbank, CA 91501. The listed phone number is (818) 846-0797.

What is Jerry Dash's specialty?

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

Is Jerry Dash enrolled in Medicare?

No. Jerry Dash has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jerry Dash was last updated on June 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.