Jack Warren Ito is a 29 Palms, California based psychologist who is specialized in Clinical Psychology. Active license number of Jack Warren Ito is PS008530L for Clinical Psychology in Pennsylvania. His current practice location is Naval Hospital 29 Palms, Mcagcc, 29 Palms. Patients can reach him at 760-830-2782. Jack Warren Ito is PHD in Clinical Psychology and his NPI number (Unique professional ID assigned by NPPES) is 1710966593. Jack Warren Ito is a mental health professional with highly specialized training in the diagnosis and psychological treatment of mental, behavioral and emotional illnesses, including obsessive-compulsive disorder (OCD). His main focus is on diagnosing and treating mental, emotional, and behavioral disorders. Some of the common disorders that he can treat are learning disabilities, substance abuse, depression, anxiety, and eating disorders.
Complete Profile:
Jack Warren Ito speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1710966593
NPI Enumeration Date:
11 Jan, 2006
NPI Last Update On:
01 Nov, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jack Warren Ito are as mentioned below.
License Number
Specialization
State
Status
PS008530L
Clinical Psychology
Pennsylvania
Primary
PS008530L
General Psychology
Pennsylvania
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Jack Warren Ito such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
016536380004
Medicaid
Pennsylvania
163751
Other
Pennsylvania
VALUE BEHAVIORAL HEALTH
959098
Other
Pennsylvania
HIGHMARK PROVIDER NUMBER
A771081
Other
Pennsylvania
VALUE BEHAVIORAL HEALTH
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Jack Warren Ito Po Box 63, 29 Palms, California
Zip:
92277
Phone Number:
760-830-2782
Fax Number:
724-407-1201
Patients can reach Jack Warren Ito at Naval Hospital 29 Palms, Mcagcc, 29 Palms, California or can call to book an appointment on 760-830-2782.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.