Healthcare Provider Details

I. General information

NPI: 1134069776
Provider Name (Legal Business Name): PACIFIC MENTAL HEALTH PARTNERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2026
Last Update Date: 04/01/2026
Certification Date: 04/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5855 E NAPLES PLZ STE 309
LONG BEACH CA
90803-5091
US

IV. Provider business mailing address

5855 E NAPLES PLZ STE 309
LONG BEACH CA
90803-5091
US

V. Phone/Fax

Practice location:
  • Phone: 562-212-4797
  • Fax: 800-385-1675
Mailing address:
  • Phone: 562-212-4797
  • Fax: 800-385-1675

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. HEATHER S JENSEN
Title or Position: CEO
Credential: PHD
Phone: 562-212-4797