Jack Ito, PHD
NPI 1710966593 · Clinical Psychologist · 29 Palms, CA
Jack Ito, PHD is a Clinical Psychologist provider in 29 Palms, CA (NPI 1710966593).
Provider details
- NPI number
- 1710966593
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Male
- Sole proprietor
- No
- License
- PS008530L (PA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
Mailing address
Registry dates
- Enumerated
- 2006-01-11
- Last updated
- 2007-11-01
Frequently asked questions
- What is Jack Ito's NPI number?
- Jack Ito's National Provider Identifier (NPI) is 1710966593, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jack Ito's specialty?
- Jack Ito is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Jack Ito located?
- Jack Ito's practice location on file with NPPES is Naval Hospital 29 Palms, 29 Palms, CA 92278.
- What is Jack Ito's phone number?
- The practice phone number listed in the NPPES registry for Jack Ito is (760) 830-2782.
- Is Jack Ito's NPI active?
- Yes — Jack Ito's NPI (1710966593) is active in the NPPES registry as of the last update on 2007-11-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.