Provider Demographics
NPI:1023486222
Name:HARTMAN, JAIMEE SILVERA (PSYD, LMFT)
Entity type:Individual
Prefix:DR
First Name:JAIMEE
Middle Name:SILVERA
Last Name:HARTMAN
Suffix:
Gender:F
Credentials:PSYD, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12021 S. WILMINGTON AVE.
Mailing Address - Street 2:BLDG. 18, SUITE 300
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90059-3019
Mailing Address - Country:US
Mailing Address - Phone:213-842-2577
Mailing Address - Fax:213-477-2159
Practice Address - Street 1:12021 S. WILMINGTON AVE.
Practice Address - Street 2:BLDG. 18, SUITE 300
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90059-3019
Practice Address - Country:US
Practice Address - Phone:213-842-2577
Practice Address - Fax:213-477-2159
Is Sole Proprietor?:No
Enumeration Date:2015-09-04
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA85368106H00000X
CAPSY32709103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist