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

Dr. Jess H Ghannam, PHD

Individual provider Clinical Neuropsychologist · NPI 1285790154

Dr. Jess H Ghannam, PHD is a Clinical Neuropsychologist in Emeryville, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2006
Specialties on file
7
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 →

Practice location Address checks out

1335 Stanford
Emeryville, CA 94608-2536
Phone: (510) 647-5101
Fax: (510) 647-5105
Show map & directions

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

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY9261 (CA)
Clinical Neuropsychologist Taxonomy 103G00000X · Licence PSY9261 (CA)
Psychologist Taxonomy 103T00000X · Licence PSY9261 (CA)
Forensic Psychologist Taxonomy 103TF0200X · Licence PSY9261 (CA)
Group Psychotherapy Psychologist Taxonomy 103TP2701X · Licence PSY9261 (CA)
Rehabilitation Psychologist Taxonomy 103TR0400X · Licence PSY9261 (CA)
Pain Medicine (Psychiatry & Neurology) Physician Taxonomy 2084P2900X · Licence PSY9261 (CA)

Record details

NPI number1285790154
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedDecember 28, 2006
Last updated in NPPESSeptember 5, 2012