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DR. JESS H GHANNAM PHD
NPI 1285790154
Psychologist - Clinical in Emeryville, CA

Active since December 28, 2006
1335 STANFORD, EMERYVILLE, CA 94608(510) 647-5101(510) 647-5105 Get Directions Write a Review

NPPES record last updated: September 5, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jess H Ghannam Phd NPPES

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

DR. JESS H GHANNAM PHD (NPI 1285790154) is an individual clinical provider in Emeryville, California, licensed in California (PSY9261) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1285790154
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JESS H GHANNAMCredential: PHD
Location Address1335 STANFORDEmeryville, CA 94608-2536
Mailing Address1939 Divisadero St, # 3San Francisco, CA 94115-2507 · (415) 921-8096 · Fax (415) 354-3377
Phone(510) 647-5101
Fax(510) 647-5105
Sole ProprietorYes
Enumeration DateDecember 28, 2006
Last NPPES UpdateSeptember 5, 2012
✔ NPI 1285790154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · PSY9261
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 ListedClinical NeuropsychologistTaxonomy 103G00000X · License PSY9261 (CA)
Also ListedPsychologistTaxonomy 103T00000X · License PSY9261 (CA)
Also ListedPsychologist · ForensicTaxonomy 103TF0200X · License PSY9261 (CA)
Also ListedPsychologist · Group PsychotherapyTaxonomy 103TP2701X · License PSY9261 (CA)
Also ListedPsychologist · RehabilitationTaxonomy 103TR0400X · License PSY9261 (CA)
Also ListedPsychiatry & Neurology · Pain MedicineTaxonomy 2084P2900X · License PSY9261 (CA)
1335 STANFORD, Emeryville, CA 94608
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Other Identifiers 4

OtherZZZ20562ZCA · Group Id Number
Other943307488CA · Group Tax Id Number
Medicare ID-Type Unspecified00PL92611CA
Medicare UPINR26383CA

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 Jess Ghannam's NPI number?

The NPI number for Jess Ghannam is 1285790154. It was assigned to this individual provider in the NPPES registry on December 28, 2006.

Where is Jess Ghannam located?

Jess Ghannam practices at 1335 Stanford, Emeryville, CA 94608. The listed phone number is (510) 647-5101.

What is Jess Ghannam'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 Jess Ghannam was last updated on September 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.