Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

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

Active since December 29, 2023
5885 BROCKTON AVE, RIVERSIDE, CA 92506(800) 270-5016 Get Directions Write a Review

NPPES record last updated: July 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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 Riverside, California, licensed in California (PSY36650) and active in the NPI registry since December 2023. She maintains a secondary practice location in San Diego.

NPPES Registry Identity

NPI1346019478
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameJESSICA JAMILE FARAGALLAHCredential: PHD
Location Address5885 BROCKTON AVERiverside, CA 92506-1863
Mailing Address31194 La Baya Dr Ste 100Westlake Village, CA 91362-6420
Sole ProprietorNo
Enumeration DateDecember 29, 2023
Last NPPES UpdateJuly 30, 2026
NPPES CertifiedJuly 30, 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.
5885 BROCKTON AVE, Riverside, CA 92506

Secondary Practice Location 1

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

Other Providers at the Same Location NPPES 10

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

Physician Assistant
5885 BROCKTON AVE
RIVERSIDE, CA 92506
Physical Medicine & Rehabilitation (Neuromuscular Medicine)
5885 BROCKTON AVE
RIVERSIDE, CA 92506
Physical Medicine & Rehabilitation
5885 BROCKTON AVE
RIVERSIDE, CA 92506
Nurse Practitioner (Family)
5885 BROCKTON AVE
RIVERSIDE, CA 92506
Physician Assistant
5885 BROCKTON AVE
RIVERSIDE, CA 92506
Physician Assistant
5885 BROCKTON AVE
RIVERSIDE, CA 92506
Physical Medicine & Rehabilitation
5885 BROCKTON AVE
RIVERSIDE, CA 92506
Nurse Practitioner (Family)
5885 BROCKTON AVE
RIVERSIDE, CA 92506

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 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.

Where is Jessica Faragallah located?

Jessica Faragallah practices at 5885 Brockton Ave, Riverside, CA 92506. The listed phone number is (800) 270-5016.

What is Jessica Faragallah'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 Jessica Faragallah was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.