Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Carol Gottuso Jaenicke, PHD

Individual provider Clinical Psychologist · NPI 1194917625

Dr. Carol Gottuso Jaenicke, PHD is a Clinical Psychologist in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

12304 Santa Monica Blvd Ste 211
Los Angeles, CA 90025-2551
Phone: (323) 936-5718
Fax: (323) 936-5718
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY9677 (CA)

Record details

NPI number1194917625
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedAugust 17, 2007
Last updated in NPPESAugust 17, 2007

Other providers in Los Angeles