JACINDA LYNN DOUGHERTY PSY.D.
NPI 1790171833
Psychologist - Clinical in Oxnard, CA

Active since April 15, 2015PECOS Enrolled
1911 WILLIAMS DR STE 120, OXNARD, CA 93036(805) 981-6830 Get Directions Write a Review

NPPES record last updated: May 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacinda Lynn Dougherty Psy.d. NPPES

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

JACINDA LYNN DOUGHERTY PSY.D. (NPI 1790171833) is an individual clinical provider in Oxnard, California, licensed in California (35699) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1790171833
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameJACINDA LYNN DOUGHERTYCredential: PSY.D.
Location Address1911 WILLIAMS DR STE 120Oxnard, CA 93036-2612
Mailing Address1911 Williams Dr Ste 120Oxnard, CA 93036-2612
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateApril 15, 2015
Last NPPES UpdateMay 1, 2025
NPPES CertifiedApril 21, 2025
NPI 1790171833 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 · 35699
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.
1911 WILLIAMS DR STE 120, Oxnard, CA 93036

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jacinda Lynn Dougherty Psy.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9537673645
PECOS Enrollment IDI20250710000744
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 93036 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
$185.36 typical visit price
range $62.32 – $185.36
Typical copayment $46.34 (range $15.58 – $46.34)
Most-billed visit code 99205
Established Patient
$108.74 typical visit price
range $20.68 – $151.85
Typical copayment $27.18 (range $5.17 – $37.96)
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.

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.

Marriage & Family Therapist
1911 WILLIAMS DR STE 120
OXNARD, CA 93036
Marriage & Family Therapist
1911 WILLIAMS DR STE 120
OXNARD, CA 93036
Marriage & Family Therapist
1911 WILLIAMS DR STE 120
OXNARD, CA 93036
Rehabilitation Practitioner
1911 WILLIAMS DR STE 120
OXNARD, CA 93036
Rehabilitation Practitioner
1911 WILLIAMS DR STE 120
OXNARD, CA 93036
Rehabilitation Practitioner
1911 WILLIAMS DR STE 120
OXNARD, CA 93036
Social Worker (Clinical)
1911 WILLIAMS DR STE 120
OXNARD, CA 93036
Counselor (Mental Health)
1911 WILLIAMS DR STE 120
OXNARD, CA 93036

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 Jacinda Dougherty's NPI number?

The NPI number for Jacinda Dougherty is 1790171833. It was assigned to this individual provider in the NPPES registry on April 15, 2015.

Where is Jacinda Dougherty located?

Jacinda Dougherty practices at 1911 Williams Dr Ste 120, Oxnard, CA 93036. The listed phone number is (805) 981-6830.

What is Jacinda Dougherty's specialty?

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

Is Jacinda Dougherty enrolled in Medicare?

Yes. Jacinda Dougherty is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacinda Dougherty was last updated on May 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.