DR. JADAH MARIE SUN PETTY PH.D.
NPI 1760069769
Psychologist - Clinical in Los Angeles, CA
About Dr. Jadah Marie Sun Petty Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JADAH MARIE SUN PETTY PH.D. (NPI 1760069769) is an individual clinical provider in Los Angeles, California, licensed in California (32461) and active in the NPI registry since March 2021. She has opted out of Medicare through September 23, 2027.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Jadah Marie Sun Petty Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 23, 2025 through September 23, 2027.
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.
LOS ANGELES, CA 90012
LOS ANGELES, CA 90012
LOS ANGELES, CA 90012
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 Jadah Petty's NPI number?
The NPI number for Jadah Petty is 1760069769. It was assigned to this individual provider in the NPPES registry on March 25, 2021.
Where is Jadah Petty located?
Jadah Petty practices at 351 E Temple St, Los Angeles, CA 90012. The listed phone number is (213) 253-2677.
What is Jadah Petty's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Jadah Petty enrolled in Medicare?
No. Jadah Petty has opted out of Medicare through September 23, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Jadah Petty was last updated on March 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Jadah Marie Sun Petty, PH.D. · NPI 1760069769
Clinical provider in Los Angeles, California. Individual provider, active in the CMS NPPES registry since March 25, 2021.
## Identity
- **NPI:** 1760069769 (Entity type: Individual)
- **Enumerated:** March 25, 2021
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 32461 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 351 E TEMPLE ST, Los Angeles, CA 90012-3328
- **Phone:** (213) 253-2677
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through September 23, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** March 25, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1760069769) · Data from the CMS NPPES public registry.