DR. GREGORY JACKS PSYD
NPI 1508668476
Psychologist - Clinical in Los Angeles, CA

Q: What is Gregory Jacks's NPI number?

The NPI number for Gregory Jacks is 1508668476. It was assigned to this individual provider in the NPPES registry on March 24, 2025.

Q: What is Gregory Jacks's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Gregory Jacks was last updated on March 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since March 24, 2025

10380 WILSHIRE BLVD APT 1103, LOS ANGELES, CA 90024(424) 788-0091 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Gregory Jacks Psyd NPPES

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

DR. GREGORY JACKS PSYD (NPI 1508668476) is an individual clinical provider in Los Angeles, California, licensed in California (PSY35526) and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1508668476

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. GREGORY JACKSCredential: PSYD

Location Address10380 WILSHIRE BLVD APT 1103Los Angeles, CA 90024-4756

Mailing Address4 Quarterdeck St Apt 1Marina Del Rey, CA 90292-6757 · (310) 709-3541

Phone(424) 788-0091

Sole ProprietorYes

Enumeration DateMarch 24, 2025

NPPES CertifiedMarch 24, 2025

✔ NPI 1508668476 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 · PSY35526

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.

10380 WILSHIRE BLVD APT 1103, Los Angeles, CA 90024

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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 Gregory Jacks's NPI number?

The NPI number for Gregory Jacks is 1508668476. It was assigned to this individual provider in the NPPES registry on March 24, 2025.

Where is Gregory Jacks located?

Gregory Jacks practices at 10380 Wilshire Blvd Apt 1103, Los Angeles, CA 90024. The listed phone number is (424) 788-0091.

What is Gregory Jacks'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 Gregory Jacks was last updated on March 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.