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.
| Name: | Jack Warren Ito |
| Specialization: | Clinical Psychology |
| Gender: | Male |
| Credentials: | PHD |
| Practice Address: | Naval Hospital 29 Palms, Mcagcc, 29 Palms,
California, 92278 |
| Phone: | 760-830-2782 |
Professional Identification Codes:
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.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.