JESS AARON ZLOTNIK PSY.D.
NPI 1497997472
Psychologist - Clinical in San Diego, CA

Active since April 06, 2009Opted out of Medicare · through May 1, 2027
4060 FOURTH AVE, SUITE 615, SAN DIEGO, CA 92103(619) 269-5136(619) 574-1649 Get Directions Write a Review

NPPES record last updated: April 6, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jess Aaron Zlotnik Psy.d. NPPES

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

JESS AARON ZLOTNIK PSY.D. (NPI 1497997472) is an individual clinical provider in San Diego, California, licensed in California (PSY22204) and active in the NPI registry since April 2009. He has opted out of Medicare through May 1, 2027.

NPPES Registry Identity

NPI1497997472
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameJESS AARON ZLOTNIKCredential: PSY.D.
Location Address4060 FOURTH AVE, SUITE 615San Diego, CA 92103-2116
Mailing Address4060 Fourth Ave, Suite 615San Diego, CA 92103-2116 · (619) 269-5136 · Fax (619) 574-1649
Fax(619) 574-1649
Sole ProprietorYes
Enumeration DateApril 6, 2009
NPI 1497997472 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 · PSY22204
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.
4060 FOURTH AVE, San Diego, CA 92103

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Jess Aaron Zlotnik Psy.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 May 1, 2023 through May 1, 2027.

Opt-Out Effective DateMay 1, 2023
Opt-Out In Effect ThroughMay 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

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

Internal Medicine
4060 FOURTH AVE, SUITE 335
SAN DIEGO, CA 92103
Internal Medicine
4060 FOURTH AVE, SUITE 100
SAN DIEGO, CA 92103
Colon & Rectal Surgery
4060 FOURTH AVE, SUITE 510
SAN DIEGO, CA 92103
Physician Assistant
4060 FOURTH AVE, SUITE 415
SAN DIEGO, CA 92103
Physician Assistant (Medical)
4060 FOURTH AVE, SUITE 415
SAN DIEGO, CA 92103
Internal Medicine (Cardiovascular Disease)
4060 FOURTH AVE, SUITE 650
SAN DIEGO, CA 92103
Dietitian, Registered
4060 FOURTH AVE
SAN DIEGO, CA 92103
Internal Medicine
4060 FOURTH AVE, SUITE 505
SAN DIEGO, CA 92103

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 Jess Zlotnik's NPI number?

The NPI number for Jess Zlotnik is 1497997472. It was assigned to this individual provider in the NPPES registry on April 6, 2009.

Where is Jess Zlotnik located?

Jess Zlotnik practices at 4060 Fourth Ave Suite 615, San Diego, CA 92103. The listed phone number is (619) 269-5136.

What is Jess Zlotnik's specialty?

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

Is Jess Zlotnik enrolled in Medicare?

No. Jess Zlotnik has opted out of Medicare through May 1, 2027. 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 Jess Zlotnik was last updated on April 6, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.