DR. JENNIFER GREGG (NPI# 1013180488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013180488 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER GREGG |
| Credential | PH.D. |
| Practice Address |
Dept of Psychology One Washington Square San Jose CA 95192-0120 |
| Practice Telephone | 6507437230 |
| Mailing Telephone | 6507437230 |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2008-04-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY21907 | CA | Behavioral Health & Social Service Providers |
| N | 103TH0004X |
Psychologist Specialization: Health |
PSY21907 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225421738 | Jennifer Gregg | Occupational Therapy Assistant | 1902 3rd Ave, Canyon, TX 79015-3031 | 2015-03-08 |
| 1881234979 | Jennifer Erin Gregg | Social Worker | 630 Vernon Ave, Glencoe, IL 60022-1681 | 2020-01-07 |
| 1952710741 | Jennifer Gregg | Counselor | 1909 Commerce Ave, Cullman, AL 35055-6151 | 2014-08-06 |
| 1649512328 | Jennifer Lynn Gregg | Registered Nurse | 4105 Se International Way, Suite 501, Milwaukie, OR 97222-8855 | 2013-03-20 |
| Street Address |
DEPT OF PSYCHOLOGY ONE WASHINGTON SQUARE |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95192-0120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093326324 | Kyungmo Han | Specialist/Technologist | Department of Kinesiology One Washington Square, San Jose, CA 95192-0001 | 2020-08-11 |
| 1558589382 | Barbara Fu | Internal Medicine | Sjsu Shc One Washington Sq, San Jose, CA 95192-0001 | 2007-04-24 |
| 1104856624 | Jeb M Burns | Specialist/Technologist | One Washington Square, San Jose, CA 95192-0001 | 2006-07-03 |
| 1598702136 | Jeffrey James Roberts | Specialist/Technologist | San Jose State University, Department of Kinesiology, San Jose, CA 95192-0001 | 2006-06-01 |
| 1013246628 | Roger Karlsson | Psychologist | Department of Psychology, 1 Washington Sq, San Jose, CA 95192-0001 | 2009-12-09 |
| 1144361338 | Erin M Coleman | Specialist/Technologist | 1 Washington Sq, San Jose, CA 95192-0001 | 2007-02-09 |
| 1679679179 | Scott Lieberman | Radiology | 1 Washington Sq, Ste Hb103, San Jose, CA 95192-0001 | 2006-09-15 |
| 1639203755 | Harry John Cornbleet | Internal Medicine | San Jose State University Student Health Ctr, 1 Washington Sq, San Jose, CA 95192-0037 | 2007-03-14 |
| 1457534968 | San Jose State University Student Health Center | Clinic/Center | 1 Washington Sq, San Jose, CA 95192-0037 | 2007-12-07 |
| 1124230008 | Robert Laurence Kronisch | Family Medicine | San Jose State University Student Health Ctr, One Washington Square, San Jose, CA 95192-0037 | 2007-05-04 |
| Find all providers in zip 95192 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861023020 | Widyasita Sawyer | Psychologist | 1189 Curtner Ave, San Jose, CA 95125-3618 | 2020-01-27 |
| 1861030033 | Maria-christina Stewart | Psychologist | 3141 Stevens Creek Blvd # 40167, San Jose, CA 95117-1141 | 2019-12-18 |
| 1306404504 | Palak Dipak Kothari | Psychologist | 20 S 2nd St Unit 425, San Jose, CA 95113-2532 | 2019-06-03 |
| 1942762299 | Dr. Danessa Mayo, Phd | Psychologist | 1190 Lincoln Ave Ste 7, San Jose, CA 95125-3036 | 2019-04-04 |
| 1104362433 | Samantha Kountz-edwards | Psychologist | 1588 Hallbrook Dr, San Jose, CA 95118-1611 | 2017-01-10 |
| 1306243530 | Kell Fujimoto | Psychologist | 2845 Moorpark Ave, Suite 203, San Jose, CA 95128-3158 | 2014-12-03 |
| 1174964092 | Brandi Marche Brooks | Psychologist | 1866 Half Pence Way, San Jose, CA 95132 | 2013-07-08 |
| 1306181284 | Marion Marsha Wadley | Psychologist | 1443 Lupton Ave, San Jose, CA 95125-3847 | 2012-12-04 |
| 1639433709 | Janice Jaishika Raj | Psychologist | 2400 Moorpark Ave., #300, San Jose, CA 95128 | 2012-07-03 |
| 1114296803 | Amanda M Walters | Psychologist | 1101 S Winchester Blvd Ste P297, San Jose, CA 95128 | 2011-12-24 |
| Find all providers in SAN JOSE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.