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

Jacob Gisis

Individual provider Psychologist · NPI 1104074160

Jacob Gisis is a Psychologist in Encino, California. Licensed in California. Registered with an NPI since 2008.

Licensed in
CA
In the registry since
2008

Practice location Address checks out

16055 Ventura Blvd Ste 715
Encino, CA 91436-2610
Phone: (323) 807-6381
Show map & directions

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

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence PSY30023 (CA)

Record details

NPI number1104074160
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 3, 2008
Last updated in NPPESFebruary 3, 2026
Certification dateFebruary 3, 2026
Mailing address16055 Ventura Blvd Ste 715, Encino, CA 91436-2610

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