DR. JENNIFER MAE PRUITT (NPI# 1497949937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497949937 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER MAE PRUITT |
| Credential | PSY.D. |
| Practice Address |
1215 W West Covina Pkwy Suite 200 West Covina CA 91790-2946 |
| Practice Telephone | 5624771161 |
| Mailing Telephone | 5624771161 |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2011-05-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY24215 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962907329 | Jennifer Pruitt | Counselor | 630 E Southlake Blvd Ste 112, Southlake, TX 76092-6259 | 2018-03-28 |
| 1275705634 | Jennifer Ellen Pruitt | Counselor | 1210 Stonehollow Dr, Kingwood, TX 77339-2033 | 2008-03-26 |
| 1467903922 | Jennifer Pruitt | Registered Nurse | 118 Central Ave, Searcy, AR 72143-7328 | 2016-10-19 |
| 1598163347 | Jennifer Mann Pruitt | Advanced Practice Midwife | 1871 Se Tiffany Ave, Suite 200, Port St Lucie, FL 34952-7585 | 2014-12-10 |
| 1417119561 | Jennifer Marie Pruitt | Counselor | 2409 Homer Clayton Dr, Guntersville, AL 35976-2207 | 2008-06-30 |
| 1013178649 | Jennifer Alice Pruitt | Counselor | 11001 Hammerly Blvd, Houston, TX 77043-1913 | 2008-06-17 |
| Street Address |
1215 W WEST COVINA PKWY SUITE 200 |
| City | WEST COVINA |
| State | CA |
| Zip Code | 91790-2946 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215023106 | Ramzi Sawabini | Dentist | 1215 W West Covina Pkwy, West Covina, CA 91790-2815 | 2006-10-05 |
| 1720697675 | Cuiping Li | Student in an Organized Health Care Education/Training Program | 1215 W West Covina Pkwy, West Covina, CA 91790-2946 | 2020-07-27 |
| 1396371126 | Jacqueline Loera | Counselor | 1215 W West Covina Pkwy, West Covina, CA 91790-2946 | 2020-03-12 |
| 1700437340 | Karen Siegel | Counselor | 1215 W West Covina Pkwy, West Covina, CA 91790-2946 | 2019-09-25 |
| 1487202214 | Angela Chwe | Marriage & Family Therapist | 1215 W West Covina Pkwy, West Covina, CA 91790-2946 | 2019-08-26 |
| 1245883545 | Loren Jolley-ruud | Counselor | 1215 W West Covina Pkwy, West Covina, CA 91790-2946 | 2019-07-17 |
| 1134789191 | Abigail Khai Yung Chin | Marriage & Family Therapist | 1215 W West Covina Pkwy, West Covina, CA 91790-2946 | 2019-06-20 |
| 1073089314 | Joseph Christopher Zerrudo | Marriage & Family Therapist | 1215 W West Covina Pkwy, West Covina, CA 91790-2946 | 2018-10-14 |
| 1205318094 | Amy Lizeth Quiroz | Counselor | 1215 W West Covina Pkwy, West Covina, CA 91790 | 2018-08-29 |
| 1851878417 | Susanna K Downer | Student in an Organized Health Care Education/Training Program | 1215 W West Covina Pkwy, West Covina, CA 91790-2946 | 2018-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285279067 | Liang-wen Chen | Acupuncturist | 1433 West Merced Ave. Suite 304, West Covina, CA 91790 | 2019-11-15 |
| 1245880517 | Cheuk Man Chan | Acupuncturist | 1433 W Merced Ave., #309, West Covina, CA 91790 | 2019-09-18 |
| 1982174561 | Alexandra Isaacs | Marriage & Family Therapist | 1215 W. West Covina Pkwy., West Covina, CA 91790 | 2018-11-27 |
| 1568949709 | Lulua Zulfikarali Bahrainwala | Student in an Organized Health Care Education/Training Program | 1115 S Sunset Avenue #3940, West Covina, CA 91790 | 2018-07-20 |
| 1417442740 | Lydia Joy David | Nurse Practitioner | 1769 S Sunset Ave, West Covina, CA 91790 | 2018-06-28 |
| 1043721046 | Kimberly E Nevarez | Specialist/Technologist | 410 E Merced Ave Suite D, Suite D, West Covina, CA 91790 | 2017-10-17 |
| 1952825754 | Evan Lee Hendriks | Physician Assistant | 301 S Glendora Ave, Apt 2142, West Covina, CA 91790 | 2017-08-02 |
| 1669994588 | Meryl Francine Liu | Dentist | 1101 S. Glendora Ave #a, West Covina, CA 91790 | 2017-07-12 |
| 1326586330 | Athena Merianos | Marriage & Family Therapist | 1215 W. West Parkway, West Covina, CA 91790 | 2017-02-09 |
| 1912445990 | Lissette Bueno | Case Manager/Care Coordinator | 1517 West Garvey Ave North, West Covina, CA 91790 | 2017-02-09 |
| Find all providers in zip 91790 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578682068 | Patricia Valdez | Psychologist | 1215 W West Covina Pkwy Ste 200, West Covina, CA 91790-2946 | 2007-03-28 |
| 1578695284 | Elisa Kahterine Jimenez | Psychologist | 2217 Calle Parral, West Covina, CA 91792-2182 | 2007-03-09 |
| 1194748459 | Trudy Elizabeth Martin | Psychologist | 1515 West Cameron Avenue, Ste 200, West Covina, CA 91790-2734 | 2006-07-26 |
| 1033152434 | Pamela Theresa Mcfarland | Psychologist | 919 N Sunset Ave, West Covina, CA 91790-1244 | 2006-06-14 |
| 1013113091 | Jack Boghosian | Psychologist | 1502 W West Covina Pkwy, West Covina, CA 91790-2703 | 2007-06-26 |
| 1033252283 | Misook Oh Nierodzik | Psychologist | 150 N Grand Ave Ste 212, West Covina, CA 91791-1757 | 2007-02-15 |
| 1770654949 | Sheilly Arora | Psychologist | 919 N Sunset Ave, West Covina, CA 91790-1244 | 2006-11-10 |
| 1154344554 | Farshideh Fara Morshedian | Psychologist | 919 N Sunset Ave, West Covina, CA 91790-1244 | 2006-07-26 |
| 1215957550 | Gregory Sean Kovacs | Psychologist | 919 N Sunset Ave, West Covina, CA 91790-1244 | 2006-07-20 |
| 1174548242 | Kathy Lynn Parish | Psychologist | 919 N Sunset Ave, West Covina, CA 91790-1244 | 2006-07-12 |
| Find all providers in WEST COVINA | ||||
| City | WEST COVINA |
| Zip Code | 91790 |
Please comment or provide details below to improve the information on DR. JENNIFER MAE PRUITT.
| 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.