IndividualActive
Jeremy Thacker
NPI 1508661794 · Clinical Psychologist · Studio City, CA
Jeremy Thacker is a Clinical Psychologist provider in Studio City, CA (NPI 1508661794).
Provider details
- NPI number
- 1508661794
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- PSB94027985 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
11712 Moorpark St Ste 204b
Studio City, CA 91604-2158
Phone: (323) 834-2420
Street-level locationGet directions
Mailing address
11712 Moorpark St Ste 204b
Studio City, CA 91604-2158
Registry dates
- Enumerated
- 2025-02-13
- Last updated
- 2025-02-13
- Certified
- 2025-02-13
Frequently asked questions
- What is Jeremy Thacker's NPI number?
- Jeremy Thacker's National Provider Identifier (NPI) is 1508661794, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jeremy Thacker's specialty?
- Jeremy Thacker is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Jeremy Thacker located?
- Jeremy Thacker's practice location on file with NPPES is 11712 Moorpark St Ste 204b, Studio City, CA 91604-2158.
- What is Jeremy Thacker's phone number?
- The practice phone number listed in the NPPES registry for Jeremy Thacker is (323) 834-2420.
- Is Jeremy Thacker's NPI active?
- Yes — Jeremy Thacker's NPI (1508661794) is active in the NPPES registry as of the last update on 2025-02-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.