DR. KENNETH PARKER JR. (NPI# 1417132275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417132275 |
| Entity Type | Individual |
| Full Name | DR. KENNETH PARKER JR. |
| Credential | PHD |
| Practice Address |
441 Park Ave 2nd Floor San Jose CA 95110-2615 |
| Mailing Address |
Po Box 6831 San Jose CA 95150-6831 |
| Practice Telephone | 4082872640 |
| Practice Fax Number | 4082877428 |
| Mailing Telephone | 4086124935 |
| Enumeration Date | 2007-12-28 |
| Last Update Date | 2017-04-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PSY9141 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295179661 | Kenneth W Parker Sr. | Nurse's Aide | 1783 Lakenoll Dr, Cincinnati, OH 45231-5115 | 2013-04-29 |
| 1689920373 | Kenneth E Parker | Counselor | 101 Blue Vis, Cibolo, TX 78108-4255 | 2012-07-31 |
| 1518253426 | Kenneth Parker IIi | Pharmacist | 10478 N Nc Highway 109, Winston Salem, NC 27107-9634 | 2011-06-20 |
| 1013126507 | Kenneth Wayne Parker | Chiropractor | 12453 Timberland Blvd, Suite 105, Fort Worth, TX 76244-5208 | 2007-05-21 |
| 1568504058 | Kenneth C. Parker | Audiologist-Hearing Aid Fitter | 6151 Shallowford Rd Ste 104, Chattanooga, TN 37421-7803 | 2007-02-13 |
| 1407942030 | Kenneth A Parker | Psychologist | 4710 Hermano Drive, Tarzana, CA 91356-4516 | 2006-10-04 |
| 1760493910 | Kenneth Parker | Social Worker | 11709 Tanglebriar Trl, Austin, TX 78750-1361 | 2006-08-11 |
| 1841256765 | Kenneth Carroll Parker | Otolaryngology | 36 Mcmillen Dr, Newark, OH 43055-1809 | 2006-04-21 |
| 1043208564 | Kenneth Eldon Parker | Chiropractor | 127 Avenue C, Ste A, Snohomish, WA 98290-2768 | 2005-10-10 |
| 1265866776 | Kenneth Michael Parker Jr. | Pharmacist | 2758 W 70th St, Shreveport, LA 71108-4502 | 2013-09-03 |
| Street Address |
441 PARK AVE 2ND FLOOR |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95110-2615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528192036 | Wanda Broadie Alexander | Social Worker | 441 Park Ave, San Jose, CA 95110 | 2007-03-15 |
| 1922609494 | Anjana Ramamurthi | Counselor | 441 Park Ave, San Jose, CA 95110-2615 | 2020-11-02 |
| 1316592587 | Tien Nam | Psychologist | 441 Park Ave, San Jose, CA 95110-2615 | 2019-08-05 |
| 1508347097 | Hoangoanh Anna Thi Nguyen | Counselor | 441 Park Ave, San Jose, CA 95110-2615 | 2018-08-23 |
| 1841798865 | Shauna Leigh Ketcham | Counselor | 441 Park Ave, San Jose, CA 95110-2615 | 2018-01-24 |
| 1255613048 | Frederick Scott Hing | Psychiatry & Neurology | 441 Park Ave, San Jose, CA 95110-2615 | 2011-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356876064 | Clarissa Sherrill Chan | Physician Assistant | 685 Coleman Ave Ste 20, San Jose, CA 95110 | 2017-05-01 |
| 1366895666 | Lifemoves - Autumn Satellite Clinic | Case Management | 263 N Autumn St, San Jose, CA 95110 | 2016-07-21 |
| 1487067278 | Catholic Charities of Scc | Community/Behavioral Health | 921 S 1st St, San Jose, CA 95110 | 2014-06-09 |
| 1871855916 | Act for Mental Health, Inc | Psychologist | 441 Park Avenue, San Jose, CA 95110 | 2012-06-14 |
| 1730451238 | Jackson Huang | Nurse Practitioner | 685 Coleman Ave, San Jose, CA 95110 | 2012-01-31 |
| 1104000405 | Kaitlyn Brownell | Case Manager/Care Coordinator | 150-a S. Autumn St., San Jose, CA 95110 | 2007-12-21 |
| 1760685218 | Sharon Iwen Wang | Psychologist | 2033 Gateway Pl Fl 5, San Jose, CA 95110 | 2007-06-11 |
| 1750442208 | Mario Ricardo Ponce | Counselor | 70 West Hedding Street, County of Santa Clara, San Jose, CA 95110 | 2006-12-12 |
| 1467426882 | Lannie S. Zarate-reyes D.d.s., Inc. | Dentist | 579-10 Coleman Avenue, San Jose, CA 95110 | 2006-02-14 |
| 1194374827 | Little Spirits LLC | Clinic/Center | 77 N Almaden Ave, Ste #102, San Jose, CA 95110 | 2019-09-05 |
| Find all providers in zip 95110 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548896236 | Gregory P. Salerno, Ph.d., A Psychology Corporation | Psychologist | 390 Spar Ave Ste 205, San Jose, CA 95117-1644 | 2020-03-13 |
| 1548766454 | Jenifer Miri | Psychologist | 6370 Mojave Dr, San Jose, CA 95120-5310 | 2018-04-01 |
| 1417460676 | Belinda Sangrat | Psychologist | 275 Hospital Pkwy Ste 370, San Jose, CA 95119-1136 | 2017-11-09 |
| 1659818060 | Kathlyn Clementelli | Psychologist | 3212 Tenley Dr, San Jose, CA 95148-3639 | 2017-01-23 |
| 1932650223 | Lorena Ho | Psychologist | 199 Laurel Grove Ln, San Jose, CA 95126-4848 | 2016-10-20 |
| 1477906410 | Momentum for Mental Health - Crisis Stabilization | Psychologist | 101 Jose Figueres Ave Ste 50, San Jose, CA 95116-2022 | 2016-07-14 |
| 1215388764 | Momentum for Mental Health - Cr | Psychologist | 101 Jose Figueres Ave Ste 10, San Jose, CA 95116-2022 | 2016-06-27 |
| 1306214325 | Amanda Montgomery | Psychologist | 4300 Stevens Creek Blvd Ste 260, San Jose, CA 95129 | 2015-09-08 |
| 1386046258 | Nicole Dow | Psychologist | 1417 Allegado Aly, San Jose, CA 95128-4547 | 2014-09-22 |
| 1902219850 | Rohn Taylor Stark Jr. | Psychologist | 150 Palm Valley Blvd, 3128, San Jose, CA 95123-1060 | 2014-06-09 |
| 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.