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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JACOB MACLEAN
NPI 1528962511
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since October 05, 2026
11965 VENICE BLVD STE 202, LOS ANGELES, CA 90066(888) 724-0040 Get Directions Write a Review

NPPES record added: October 5, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

About Jacob Maclean NPPES

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

JACOB MACLEAN (NPI 1528962511) is an individual student in an organized health care education/training program in Los Angeles, California, licensed in California (PSY31311) and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1528962511
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACOB MACLEAN
Location Address11965 VENICE BLVD STE 202Los Angeles, CA 90066-3954
Mailing Address5001 Paseo DaliIrvine, CA 92603-3321
Phone(888) 724-0040
Sole ProprietorNo
Enumeration DateOctober 5, 2026
NPPES CertifiedOctober 5, 2026
✔ NPI 1528962511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in CA · PSY31311
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
11965 VENICE BLVD STE 202, Los Angeles, CA 90066
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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.

ALLISON M STEPKA LMFT
Marriage & Family Therapist
11965 VENICE BLVD STE 202
LOS ANGELES, CA 90066
Los Angeles County (760) 301-6737
JACOB HARRIS
Marriage & Family Therapist
11965 VENICE BLVD STE 202
LOS ANGELES, CA 90066
Los Angeles County (424) 290-1692
TERI ERCOLI
Marriage & Family Therapist
11965 VENICE BLVD STE 202
LOS ANGELES, CA 90066
Los Angeles County (310) 266-8178
MRS. KATE CARNAHAN PLASCENCIA
Marriage & Family Therapist
11965 VENICE BLVD STE 202
LOS ANGELES, CA 90066
Los Angeles County (818) 405-0275
DR. SANAM ABRISHAMI
Psychologist (Clinical)
11965 VENICE BLVD STE 202
LOS ANGELES, CA 90066
Los Angeles County (818) 896-1161
SARAH BLANCHARD CNA
Nurse's Aide
11965 VENICE BLVD STE 202
LOS ANGELES, CA 90066
Los Angeles County (213) 774-4180

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 Jacob Maclean's NPI number?

The NPI number for Jacob Maclean is 1528962511. It was assigned to this individual provider in the NPPES registry on October 5, 2026.

Where is Jacob Maclean located?

Jacob Maclean practices at 11965 Venice Blvd Ste 202, Los Angeles, CA 90066. The listed phone number is (888) 724-0040.

What is Jacob Maclean's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jacob Maclean was last updated on October 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.