Healthcare Provider Details

I. General information

NPI: 1841645603
Provider Name (Legal Business Name): JESSICA LENIHAN PSY.D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/29/2016
Last Update Date: 04/08/2026
Certification Date: 04/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28999 OLD TOWN FRONT ST STE 204
TEMECULA CA
92590-5806
US

IV. Provider business mailing address

28999 OLD TOWN FRONT ST STE 204
TEMECULA CA
92590-5806
US

V. Phone/Fax

Practice location:
  • Phone: 858-914-1347
  • Fax:
Mailing address:
  • Phone: 858-914-1347
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number32069
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: