JESSICA CARRASCO PHD
NPI 1427807148
Psychologist - Clinical in San Diego, CA

Active since May 15, 2024PECOS Enrolled
5006 COLLWOOD WAY, SAN DIEGO, CA 92115(619) 500-7010 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jessica Carrasco Phd NPPES

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

JESSICA CARRASCO PHD (NPI 1427807148) is an individual clinical provider in San Diego, California, licensed in California (34856) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427807148
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameJESSICA CARRASCOCredential: PHD
Location Address5006 COLLWOOD WAYSan Diego, CA 92115-2065
Mailing Address3644 Marlborough AveSan Diego, CA 92105-3325
Sole ProprietorNo
Enumeration DateMay 15, 2024
Last NPPES UpdateApril 28, 2025
NPPES CertifiedApril 28, 2025
✔ NPI 1427807148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · 34856
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 34856 (CA)
5006 COLLWOOD WAY, San Diego, CA 92115

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Carrasco 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.

Medicare Billing Reassignment

Medicare enrollment records show Jessica Carrasco reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
4690 EL CAJON BLVD
San Diego, CA 92115
  • Reassigned Medicare billing, California enrollment
  • 577 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92115 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
$184.71 typical visit price
range $62.10 – $184.71
Typical copayment $46.17 (range $15.52 – $46.17)
Most-billed visit code 99205
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

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 Carrasco's NPI number?

The NPI number for Jessica Carrasco is 1427807148. It was assigned to this individual provider in the NPPES registry on May 15, 2024.

Where is Jessica Carrasco located?

Jessica Carrasco practices at 5006 Collwood Way, San Diego, CA 92115. The listed phone number is (619) 500-7010.

What is Jessica Carrasco's specialty?

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

Is Jessica Carrasco enrolled in Medicare?

Yes. Jessica Carrasco is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jessica Carrasco's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Carrasco reassigns Medicare benefits to Centro De Salud De La Comunidad De San Ysidro, Inc. (San Diego, CA). The 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 Jessica Carrasco's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jessica Carrasco was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.