Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JESSICA JAMILE FARAGALLAH PHD
NPI 1346019478
Psychologist - Clinical in Westlake Village, CA

Q: What is Jessica Faragallah's NPI number?

The NPI number for Jessica Faragallah is 1346019478. It was assigned to this individual provider in the NPPES registry on December 29, 2023.

Q: What is Jessica Faragallah's specialty?

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

Active since December 29, 2023PECOS Enrolled

31194 LA BAYA DR STE 100, WESTLAKE VILLAGE, CA 91362(805) 242-2429 Get Directions Write a Review

NPPES record last updated: August 4, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Aug 4, 2026, Jul 30, 2026, May 20, 2026 (3 updates tracked since 2026).

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About Jessica Jamile Faragallah Phd NPPES

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

JESSICA JAMILE FARAGALLAH PHD (NPI 1346019478) is an individual clinical provider in Westlake Village, California, licensed in California (PSY36650) and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in San Diego.

NPPES Registry Identity

NPI1346019478

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameJESSICA JAMILE FARAGALLAHCredential: PHD

Location Address31194 LA BAYA DR STE 100Westlake Village, CA 91362-6420

Mailing Address31194 La Baya Dr Ste 100Westlake Village, CA 91362-6420

Phone(805) 242-2429

Sole ProprietorNo

Enumeration DateDecember 29, 2023

Last NPPES UpdateAugust 4, 20263 updates tracked since enumeration

NPPES CertifiedAugust 4, 2026

✔ NPI 1346019478 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 · PSY36650

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.

31194 LA BAYA DR STE 100, Westlake Village, CA 91362

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Secondary Practice Location 1

Location 19246 Lightwave Ave Ste 120San Diego, CA 92123-6411 · Phone (800) 270-5016 · Fax (800) 680-3626

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Jamile Faragallah Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91362 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

$185.36 typical visit price

range $62.32 – $185.36

Typical copayment $46.34 (range $15.58 – $46.34)

Most-billed visit code 99205

Established Patient

$108.74 typical visit price

range $20.68 – $151.85

Typical copayment $27.18 (range $5.17 – $37.96)

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 8

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

ANDREA R.O. CLARK PH.D

Psychologist (Clinical)