JAIME ELIZABETH MEDVENE PHD A PROFESSIONAL PSYCHOLOGICAL CORPORA
NPI 1306084272
Psychologist - Clinical in Agoura Hills, CA
About Jaime Elizabeth Medvene Phd A Professional Psychological Corpora NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAIME ELIZABETH MEDVENE PHD A PROFESSIONAL PSYCHOLOGICAL CORPORA (NPI 1306084272) is a healthcare organization registered as a clinical in Agoura Hills, California and active in the NPI registry since January 2009. The organization lists Jaime Elizabeth Medvene, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jaime Elizabeth Medvene Phd A Professional Psychological Corpora is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
8Medicare enrollment records show 8 clinicians reassign Medicare billing to Jaime Elizabeth Medvene Phd A Professional Psychological Corpora, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (8)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Jaime Elizabeth Medvene Phd A Professional Psychological Corpora's NPI number?
The NPI number for Jaime Elizabeth Medvene Phd A Professional Psychological Corpora is 1306084272. It was assigned to this organization in the NPPES registry on January 30, 2009.
Where is Jaime Elizabeth Medvene Phd A Professional Psychological Corpora located?
Jaime Elizabeth Medvene Phd A Professional Psychological Corpora is located at 30200 Agoura Rd Suite 190, Agoura Hills, CA 91301. The listed phone number is (818) 981-7845.
What is Jaime Elizabeth Medvene Phd A Professional Psychological Corpora's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Jaime Elizabeth Medvene Phd A Professional Psychological Corpora enrolled in Medicare?
Yes. Jaime Elizabeth Medvene Phd A Professional Psychological Corpora is registered in the Medicare PECOS enrollment system.
When is Jaime Elizabeth Medvene Phd A Professional Psychological Corpora's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Jaime Elizabeth Medvene Phd A Professional Psychological Corpora?
According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 3 Medicare specialties reassign their Medicare billing to Jaime Elizabeth Medvene Phd A Professional Psychological Corpora. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Clinical Psychologist (5), Marriage and Family Therapist (2) and Geriatric Psychiatry (1). Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Jaime Elizabeth Medvene Phd A Professional Psychological Corpora was last updated on May 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Jaime Elizabeth Medvene Phd A Professional Psychological Corpora · NPI 1306084272
Clinical organization in Agoura Hills, California. Organization record, active in the CMS NPPES registry since January 30, 2009.
## Identity
- **NPI:** 1306084272 (Entity type: Organization)
- **Enumerated:** January 30, 2009
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **Organization subpart:** No
- **Authorized official:** Jaime Medvene, PRESIDENT
## Practice location
- **Address:** 30200 AGOURA RD, SUITE 190, Agoura Hills, CA 91301-5434
- **Phone:** (818) 981-7845
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 8 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Psychologist (5), Marriage and Family Therapist (2), Geriatric Psychiatry (1); 1 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 15, 2020
- **Other identifiers:** Medicaid PSY137401 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1306084272) · Data from the CMS NPPES public registry.