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JACK MARK DENDER M.D., PSY.D.
NPI 1548534787
Psychiatry & Neurology - Psychiatry in Encino, CA

Active since March 06, 2012PECOS Enrolled
16055 VENTURA BLVD, SUITE 919, ENCINO, CA 91436(818) 606-8376(818) 783-4403 Get Directions Write a Review

NPPES record last updated: December 14, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jack Mark Dender M.d., Psy.d. NPPES

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

JACK MARK DENDER M.D., PSY.D. (NPI 1548534787) is an individual psychiatry provider in Encino, California, licensed in California (A34535) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548534787
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameJACK MARK DENDERCredential: M.D., PSY.D.
Location Address16055 VENTURA BLVD, SUITE 919Encino, CA 91436-2601
Mailing Address1631 Alta Vista PlCamarillo, CA 93012-4011 · (818) 606-8376 · Fax (805) 482-8326
Phone(818) 606-8376
Fax(818) 783-4403
Sole ProprietorYes
Enumeration DateMarch 6, 2012
Last NPPES UpdateDecember 14, 2015
✔ NPI 1548534787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in CA · A34535
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
16055 VENTURA BLVD, Encino, CA 91436
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Other Identifiers 1

OtherA034535CA · Medical Board Of Quality Assurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jack Mark Dender M.d., Psy.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91436 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
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. SHERRI NADER PSY.D., LCSW
Psychologist
16055 VENTURA BLVD, SUITE 920
ENCINO, CA 91436
Los Angeles County (818) 888-9636
SATI WELLLNESS, LLC
Clinic/Center (Multi-Specialty)
16055 VENTURA BLVD, SUITE 712
ENCINO, CA 91436
Los Angeles County (818) 386-1395
ORLY SAGHIAN PSYD
Psychologist (Counseling)
16055 VENTURA BLVD, STE 1020
ENCINO, CA 91436
Los Angeles County (818) 419-1442
PAUL KONIKOFF M.D.
Anesthesiology
16055 VENTURA BLVD, STE.# 120
ENCINO, CA 91436
Los Angeles County (818) 789-9988
MRS. ROBYN SUE SEWITZ LCSW
Social Worker (Clinical)
16055 VENTURA BLVD, STE 403
ENCINO, CA 91436
Los Angeles County (818) 788-1404
ELIZABETH P. LOKEN M.D.
Psychiatry & Neurology (Psychiatry)
16055 VENTURA BLVD, SUITE #813
ENCINO, CA 91436
Los Angeles County (818) 906-8028
JACOB REZNIK MD, INC., A PROFESSIONAL CORPORATION
Ophthalmology
16055 VENTURA BLVD, #690
ENCINO, CA 91436
Los Angeles County (818) 789-5558
TRACY MICHELLE SWAY HOFSTATTER LMFT
Marriage & Family Therapist
16055 VENTURA BLVD, STE 500
ENCINO, CA 91436
Los Angeles County (818) 925-5084

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 Jack Dender's NPI number?

The NPI number for Jack Dender is 1548534787. It was assigned to this individual provider in the NPPES registry on March 6, 2012.

Where is Jack Dender located?

Jack Dender practices at 16055 Ventura Blvd Suite 919, Encino, CA 91436. The listed phone number is (818) 606-8376.

What is Jack Dender's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Jack Dender enrolled in Medicare?

Yes. Jack Dender is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jack Dender was last updated on December 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.