MR. KEVIN JERVIK PHD
NPI 1306964655
Psychologist - Clinical Child & Adolescent in San Pedro, CA

Q: What is Kevin Jervik's NPI number?

The NPI number for Kevin Jervik is 1306964655. It was assigned to this individual provider in the NPPES registry on March 26, 2007.

Q: What is Kevin Jervik's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Jervik was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 March 26, 2007

411 N HARBOR BLVD, SUITE 300, SAN PEDRO, CA 90731(310) 833-3696(310) 833-3572 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Kevin Jervik Phd NPPES

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

MR. KEVIN JERVIK PHD (NPI 1306964655) is an individual clinical child & adolescent provider in San Pedro, California, licensed in California (PSY 19560) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1306964655

Entity TypeIndividualMale

Primary Taxonomy103TC2200X

Provider Legal NameMR. KEVIN JERVIKCredential: PHD

Location Address411 N HARBOR BLVD, SUITE 300San Pedro, CA 90731-2200

Mailing Address411 N Harbor Blvd, Suite 300San Pedro, CA 90731-2200 · (310) 833-3696 · Fax (310) 833-3572

Phone(310) 833-3696

Fax(310) 833-3572

Sole ProprietorNo

Enumeration DateMarch 26, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1306964655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers

Taxonomy Code103TC2200X

License✔ Licensed in CA · PSY 19560

Definition

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

411 N HARBOR BLVD, San Pedro, CA 90731

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Other Providers at the Same Location NPPES

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

MS. DEBRA HERRINGTON

Counselor (Mental Health)

411 N HARBOR BLVD, SUITE 202
SAN PEDRO, CA 90731

Los Angeles County (562) 485-2276

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 Kevin Jervik's NPI number?

The NPI number for Kevin Jervik is 1306964655. It was assigned to this individual provider in the NPPES registry on March 26, 2007.

Where is Kevin Jervik located?

Kevin Jervik practices at 411 N Harbor Blvd Suite 300, San Pedro, CA 90731. The listed phone number is (310) 833-3696.

What is Kevin Jervik's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

When was this NPI record last updated?

The NPPES record for Kevin Jervik was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.