DR. JENNIFER CLARK (NPI# 1396289666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396289666 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER CLARK |
| Credential | PSY.D. |
| Practice Address |
19000 Homestead Rd Bldg. 2, Floor 1 Cupertino CA 95014-0712 |
| Practice Telephone | 4083664463 |
| Mailing Telephone | 4083664463 |
| Enumeration Date | 2016-12-06 |
| Last Update Date | 2016-12-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
28626 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932723038 | Jennifer Michelle Clark | Social Worker | 22 Norva Ave, Frederick, MD 21701-6279 | 2020-06-04 |
| 1982249926 | Jennifer Rae Clark | Nurse Practitioner | 2800 E League City Pkwy Apt 216, League City, TX 77573-1676 | 2019-11-13 |
| 1528546827 | Jennifer Clark | Technician | 59 Forrester St Sw Apt B, Washington, DC 20032-2120 | 2018-07-30 |
| 1265940340 | Jennifer Anne Clark | Counselor | 35 Pulaski Rd, Whitehouse Station, NJ 08889-3516 | 2018-01-11 |
| 1598118572 | Jennifer Clark | Internal Medicine | 1120 W. Michigan Street Gatch Hall Cl 630, Indianapolis, IN 46204 | 2016-07-14 |
| 1295124899 | Jennifer Clark | Behavioral Analyst | 662 Lake George Dr, Melbourne, FL 32940-2221 | 2015-01-20 |
| 1851707194 | Jennifer Sara Clark | Physical Therapist | 797 Evergreen Dr, West Hempstead, NY 11552-3406 | 2014-07-08 |
| 1083988794 | Jennifer Makiki Clark | Health Educator | 5858 Wilshire Blvd Ste 300, Los Angeles, CA 90036-4509 | 2012-02-27 |
| 1639484520 | Jennifer Ann Clark | Speech-Language Pathologist | 5903 Neptune Dr, Fort Collins, CO 80525-3905 | 2010-08-16 |
| 1245567247 | Jennifer Selleck Clark | Nurse Practitioner | 1840 Martin Luther King Jr Blvd Ste C4, Chapel Hill, NC 27514 | 2009-11-11 |
| Street Address |
19000 HOMESTEAD RD BLDG. 2, FLOOR 1 |
| City | CUPERTINO |
| State | CA |
| Zip Code | 95014-0712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972587426 | Bindu Chopra | Internal Medicine | 19000 Homestead Rd, Building #1, Second Floor, Cupertino, CA 95014-0712 | 2005-11-29 |
| 1578177689 | Xin Sui | Student in an Organized Health Care Education/Training Program | 19000 Homestead Rd, Cupertino, CA 95014-0712 | 2020-09-04 |
| 1275157935 | Sandra V Carrubba | Marriage & Family Therapist | 19000 Homestead Rd, Cupertino, CA 95014-0712 | 2020-05-29 |
| 1649806951 | Margarita Rodriguez | Marriage & Family Therapist | 19000 Homestead Rd, Cupertino, CA 95014-0712 | 2020-03-18 |
| 1588149298 | Timothy Coldiron | Marriage & Family Therapist | 19000 Homestead Rd, Cupertino, CA 95014-0712 | 2018-09-27 |
| 1538682380 | Evelyn Turner | Student in an Organized Health Care Education/Training Program | 19000 Homestead Rd, Cupertino, CA 95014-0712 | 2017-07-24 |
| 1164960274 | Mary Robin Bates | Marriage & Family Therapist | 19000 Homestead Rd, Cupertino, CA 95014-0712 | 2017-02-09 |
| 1689127698 | Lauren Ashley Garfield | Marriage & Family Therapist | 19000 Homestead Rd, Bldg 2, Floor 1, Cupertino, CA 95014-0712 | 2016-07-26 |
| 1083074140 | Mihee Redman | Dietitian, Registered | 19000 Homestead Rd, Cupertino, CA 95014-0712 | 2016-03-02 |
| 1811361850 | Janelle Wohltmann Myhre | Psychologist | 19000 Homestead Rd, Bldg 2, Floor 2, Cupertino, CA 95014-0712 | 2015-11-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508343500 | Voong Chuang LLC | Podiatrist | 1030 Pennington Ln, Cupertino, CA 95014 | 2018-07-23 |
| 1083114748 | Michelle T Vo | Social Worker | 19000 Homestead Rd Fl 2, Cupertino, CA 95014 | 2018-02-19 |
| 1437686797 | Yi Shou Chang | Acupuncturist | 20600 Mariani Ave Ste D, Cupertino, CA 95014 | 2017-05-17 |
| 1023553732 | Crossover Health Medical Group | Specialist | 19500 E. Homestead Rd., Cupertino, CA 95014 | 2017-01-04 |
| 1831649359 | Victoria Cheong | Occupational Therapist | 10050 N. Wolfe Road, Sw1-190, Cupertino, CA 95014 | 2016-10-07 |
| 1437532678 | Venus Tsai | Optometrist | 10123 North Wolfe Road, Cupertino, CA 95014 | 2015-07-07 |
| 1356731608 | Man-pik Lo, D.d.s., Inc. | Dentist | 20395 Pacifica Drive, Ste. 110, Cupertino, CA 95014 | 2015-01-26 |
| 1760826101 | Seiyu Kageyama | Acupuncturist | 10835 N. Wolfe Road., Cupertino, CA 95014 | 2013-04-27 |
| 1699043802 | Lisa Marie-mone Fourkas | Physical Therapist | 1601 South Deanza Blvd, Suite 111, Cupertino, CA 95014 | 2011-12-02 |
| 1508141193 | Kuo-jui Huang | Acupuncturist | 10325 S. Tantau Ave., Cupertino, CA 95014 | 2011-10-15 |
| Find all providers in zip 95014 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447468558 | Marie-nathalie Beaudoin | Psychologist | 21760 Stevens Creek Blvd Ste 102, Cupertino, CA 95014-1170 | 2007-05-21 |
| 1396953717 | Jeffrey Leslie Zimmerman | Psychologist | 21760 Stevens Creek Blvd, 102, Cupertino, CA 95014-1170 | 2007-05-18 |
| 1235223082 | Counseling Psychologists, Inc. | Psychologist | 20395 Pacifica Drive, Suite 101, Cupertino, CA 95014 | 2006-10-03 |
| 1609817733 | S. Judy Hsieh | Psychologist | 19925 Stevens Creek Blvd, Cupertino, CA 95014-2300 | 2006-06-09 |
| 1982118337 | Aileen Mosig | Psychologist | 21710 Stevens Creek Blvd Ste 120, Cupertino, CA 95014-1173 | 2017-11-21 |
| 1811361850 | Janelle Wohltmann Myhre | Psychologist | 19000 Homestead Rd, Bldg 2, Floor 2, Cupertino, CA 95014-0712 | 2015-11-13 |
| 1508134115 | Amy Blanchard | Psychologist | 20045 Stevens Creek Blvd, Suite D-2b, Cupertino, CA 95014-2353 | 2011-12-09 |
| 1467736454 | Linda G Sattler | Psychologist | 20833 Stevens Creek Blvd, Suite 100, Cupertino, CA 95014-2154 | 2011-10-07 |
| 1124302195 | Priya Mahurkar | Psychologist | 20833 Stevens Creek Blvd, Suite 100, Cupertino, CA 95014-2154 | 2011-10-07 |
| 1174812846 | Catherine Mary Marino | Psychologist | 19000 Homestead Rd, Building 2, Psychiatry Administration Suite, Cupertino, CA 95014-0712 | 2011-04-04 |
| Find all providers in CUPERTINO | ||||
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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.