JIWANDEEP S KOHLI PHD
NPI 1972317766
Psychologist - Clinical in San Diego, CA

Active since February 03, 2025PECOS EnrolledAccepts Medicare Assignment
4573 TWAIN AVE APT 111, SAN DIEGO, CA 92120(310) 309-7468 Get Directions Write a Review

NPPES record last updated: February 3, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jiwandeep S Kohli Phd NPPES

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

JIWANDEEP S KOHLI PHD (NPI 1972317766) is an individual clinical provider in San Diego, California, licensed in California (35300) and active in the NPI registry since February 2025. He is enrolled in Medicare PECOS and is a graduate of Berkeley Northeastern State University - College Of Medicine (2013).

NPPES Registry Identity

NPI1972317766
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameJIWANDEEP S KOHLICredential: PHD
Location Address4573 TWAIN AVE APT 111San Diego, CA 92120-4126
Mailing Address4573 Twain Ave Apt 111San Diego, CA 92120-4126 · (310) 309-7468
Sole ProprietorNo
Medical School CMSBerkeley Northeastern State University - College Of MedicineGraduated 2013
Enumeration DateFebruary 3, 2025
NPPES CertifiedFebruary 3, 2025
NPI 1972317766 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 · 35300
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.
4573 TWAIN AVE APT 111, San Diego, CA 92120

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jiwandeep S Kohli Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527543487
PECOS Enrollment IDI20260327003738
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 92120 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
$184.71 typical visit price
range $62.10 – $184.71
Typical copayment $46.17 (range $15.52 – $46.17)
Most-billed visit code 99205
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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 Jiwandeep Kohli's NPI number?

The NPI number for Jiwandeep Kohli is 1972317766. It was assigned to this individual provider in the NPPES registry on February 3, 2025.

Where is Jiwandeep Kohli located?

Jiwandeep Kohli practices at 4573 Twain Ave Apt 111, San Diego, CA 92120. The listed phone number is (310) 309-7468.

What is Jiwandeep Kohli's specialty?

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

Is Jiwandeep Kohli enrolled in Medicare?

Yes. Jiwandeep Kohli is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jiwandeep Kohli was last updated on February 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.