JESSICA A KACZOROWSKI PH.D.
NPI 1467689422
Psychologist in Calabasas, CA

Active since June 17, 2009Opted out of Medicare · through Feb 24, 2028
4768 PARK GRANADA, SUITE 101, CALABASAS, CA 91302(805) 267-9466 Get Directions Write a Review

NPPES record last updated: February 16, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jessica A Kaczorowski Ph.d. NPPES

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

JESSICA A KACZOROWSKI PH.D. (NPI 1467689422) is an individual psychologist in Calabasas, California, licensed in California (26784) and active in the NPI registry since June 2009. She has opted out of Medicare through February 24, 2028.

NPPES Registry Identity

NPI1467689422
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameJESSICA A KACZOROWSKICredential: PH.D.
Location Address4768 PARK GRANADA, SUITE 101Calabasas, CA 91302
Mailing Address1260 Ella St, Unit 3San Luis Obispo, CA 93401
Sole ProprietorYes
Enumeration DateJune 17, 2009
Last NPPES UpdateFebruary 16, 2016
NPI 1467689422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · 26784
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
4768 PARK GRANADA, Calabasas, CA 91302

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Jessica A Kaczorowski Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 24, 2026 through February 24, 2028.

Opt-Out Effective DateFebruary 24, 2026
Opt-Out In Effect ThroughFebruary 24, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 3

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

Marriage & Family Therapist
4768 PARK GRANADA, SUITE 109
CALABASAS, CA 91302
Marriage & Family Therapist
4768 PARK GRANADA, SUITE 109
CALABASAS, CA 91302
Marriage & Family Therapist
4768 PARK GRANADA, SUITE 109
CALABASAS, CA 91302

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 Kaczorowski's NPI number?

The NPI number for Jessica Kaczorowski is 1467689422. It was assigned to this individual provider in the NPPES registry on June 17, 2009.

Where is Jessica Kaczorowski located?

Jessica Kaczorowski practices at 4768 Park Granada Suite 101, Calabasas, CA 91302. The listed phone number is (805) 267-9466.

What is Jessica Kaczorowski's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Jessica Kaczorowski enrolled in Medicare?

No. Jessica Kaczorowski has opted out of Medicare through February 24, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jessica Kaczorowski was last updated on February 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.