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JEREMY STEPHEN THACKER
NPI 1508661794
Psychologist - Clinical in Studio City, CA

Active since February 13, 2025
11712 MOORPARK ST STE 204B, STUDIO CITY, CA 91604(323) 834-2420 Get Directions Write a Review

NPPES record last updated: February 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeremy Stephen Thacker NPPES

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

JEREMY STEPHEN THACKER (NPI 1508661794) is an individual clinical provider in Studio City, California, licensed in California (PSB94027985) and active in the NPI registry since February 2025.

NPPES Registry Identity

NPI1508661794
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameJEREMY STEPHEN THACKER
Location Address11712 MOORPARK ST STE 204BStudio City, CA 91604-2158
Mailing Address11712 Moorpark St Ste 204bStudio City, CA 91604-2158 · (323) 834-2420
Phone(323) 834-2420
Sole ProprietorYes
Enumeration DateFebruary 13, 2025
NPPES CertifiedFebruary 13, 2025
✔ NPI 1508661794 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 · PSB94027985
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.
11712 MOORPARK ST STE 204B, Studio City, CA 91604
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Other Providers at the Same Location NPPES 6

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

BRYCE MCDAVITT PHD
Clinic/Center (Mental Health (Including Community Mental Health Center))
11712 MOORPARK ST STE 204B
STUDIO CITY, CA 91604
Los Angeles County (323) 801-8123
JACLYN ZECCOLA PHD
Psychologist
11712 MOORPARK ST STE 204B
STUDIO CITY, CA 91604
Los Angeles County (323) 636-1632
DR. BRYCE MCDAVITT PHD
Psychologist (Clinical)
11712 MOORPARK ST STE 204B
STUDIO CITY, CA 91604
Los Angeles County (323) 801-8123
DR. LOU BIGELOW PHD
Psychologist (Clinical)
11712 MOORPARK ST STE 204B
STUDIO CITY, CA 91604
Los Angeles County (213) 973-8386
IAN MACKINNON
Marriage & Family Therapist
11712 MOORPARK ST STE 204B
STUDIO CITY, CA 91604
Los Angeles County (818) 538-5230
GABRIEL COOPER LMFT
Marriage & Family Therapist
11712 MOORPARK ST STE 204B
STUDIO CITY, CA 91604
Los Angeles County (818) 732-0777

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 Jeremy Thacker's NPI number?

The NPI number for Jeremy Thacker is 1508661794. It was assigned to this individual provider in the NPPES registry on February 13, 2025.

Where is Jeremy Thacker located?

Jeremy Thacker practices at 11712 Moorpark St Ste 204B, Studio City, CA 91604. The listed phone number is (323) 834-2420.

What is Jeremy Thacker'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 Jeremy Thacker was last updated on February 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.