Jeremy Stephen Thacker
Jeremy Stephen Thacker is a Clinical Psychologist provider (Psychologist) practicing in Studio City, CA, registered in the NPPES registry with NPI 1508661794 since 2025. Practices at Bryce Mcdavitt Phd (listed at the same practice address in NPPES).
✓ Active NPI ✓ Valid NPI checksum Sole proprietor
| NPI | 1508661794 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Jeremy Stephen Thacker |
| Sex | Male |
| Practice address | Studio City, CA, 91604 |
| Phone | 3238342420 |
| Enumeration date | 2025-02-13 |
| Last updated in NPPES | 2025-02-13 |
Street address withheld — NPPES sole-proprietor addresses can be home addresses. See our data policy.
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 103TC0700X | Clinical Psychologist | Primary | PSB94027985 | CA |
Copy-ready billing details
Provider: Jeremy Thacker NPI: 1508661794 Taxonomy: 103TC0700X (Clinical Psychologist) Address: Studio City, CA, 91604
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1093259715 | Jaclyn Zeccola | Individual | Psychologist | Studio City, CA |
| 1225563729 | Bryce Mcdavitt | Individual | Clinical Psychologist | Studio City, CA |
| 1023547981 | Bryce Mcdavitt Phd | Organization | Mental Health Clinic/Center (Including Community Mental Health Center) | Studio City, CA |
| 1699543397 | Gabriel Cooper | Individual | Marriage & Family Therapist | Studio City, CA |
| 1437900354 | Ian Mackinnon | Individual | Marriage & Family Therapist | Studio City, CA |
| 1265229868 | Lou Bigelow | Individual | Clinical Psychologist | Studio City, CA |
Verify this record
Cross-check NPI 1508661794 against the authoritative CMS record: view Jeremy Stephen Thacker on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-02-13.