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JOLLY JOSEPH
NPI 1538055173
Nurse Practitioner - Psychiatric/Mental Health in Glendale, CA

Active since June 17, 2025PECOS Enrolled
3316 ALABAMA ST, GLENDALE, CA 91214(818) 493-8297 Get Directions Write a Review

NPPES record last updated: June 17, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jolly Joseph NPPES

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

JOLLY JOSEPH (NPI 1538055173) is an individual psychiatric/mental health provider in Glendale, California, licensed in California (95035527) and active in the NPI registry since June 2025. The provider is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1538055173
Entity TypeIndividual
Primary Taxonomy363LP0808X
Provider Legal NameJOLLY JOSEPH
Location Address3316 ALABAMA STGlendale, CA 91214-1230
Mailing Address3316 Alabama StGlendale, CA 91214-1230 · (818) 493-8297
Phone(818) 493-8297
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJune 17, 2025
NPPES CertifiedJune 17, 2025
✔ NPI 1538055173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 95035527
3316 ALABAMA ST, Glendale, CA 91214
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jolly Joseph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4082172465
PECOS Enrollment IDI20260817000094
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jolly Joseph reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Phh-Calf-01 LLC
6.5 mi
Emergency Medicine
450 N BRAND BLVD STE 600
Glendale, CA 91203
  • Reassigned Medicare billing, California enrollment
  • 3 clinicians in this Medicare group
NPI 1528992757 (818) 476-4888

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91214 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Jolly Joseph's NPI number?

The NPI number for Jolly Joseph is 1538055173. It was assigned to this individual provider in the NPPES registry on June 17, 2025.

Where is Jolly Joseph located?

Jolly Joseph practices at 3316 Alabama St, Glendale, CA 91214. The listed phone number is (818) 493-8297.

What is Jolly Joseph's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jolly Joseph enrolled in Medicare?

Yes. Jolly Joseph is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jolly Joseph's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jolly Joseph reassigns Medicare benefits to Phh-Calf-01 LLC (Glendale, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jolly Joseph's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jolly Joseph was last updated on June 17, 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.