What is Jacob Gisis's NPI number?

Jacob Gisis's National Provider Identifier (NPI) is 1104074160, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jacob Gisis's specialty?

Jacob Gisis is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).

Where is Jacob Gisis located?

Jacob Gisis's practice location on file with NPPES is 16055 Ventura Blvd Ste 715, Encino, CA 91436-2610.

What is Jacob Gisis's phone number?

The practice phone number listed in the NPPES registry for Jacob Gisis is (323) 807-6381.

Is Jacob Gisis's NPI active?

Yes — Jacob Gisis's NPI (1104074160) is active in the NPPES registry as of the last update on 2026-02-03.

IndividualActive

Jacob Gisis

NPI 1104074160 · Psychologist · Encino, CA

Jacob Gisis is a Psychologist provider in Encino, CA (NPI 1104074160).

Provider details

NPI number: 1104074160
Entity type: Individual
Primary specialty: PsychologistBehavioral Health & Social Service Providers
Sex: Male
Sole proprietor: No
License: PSY30023 (CA)

Specialties & taxonomies

PsychologistPrimary103T00000XLicense PSY30023 (CA)
Behavioral Health & Social Service Providers

Profile Score

Detailed profile(87/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
17 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

16055 Ventura Blvd Ste 715

Encino, CA 91436-2610

Phone: (323) 807-6381

Street-level locationGet directions

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Mailing address