DR. JENE EDWARDS (NPI# 1548881667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548881667 |
| Entity Type | Individual |
| Full Name | DR. JENE EDWARDS |
| Credential | PHD |
| Practice Address |
3090 Fite Cir Ste 102 Sacramento CA 95827-1810 |
| Mailing Address |
Po Box 580111 Elk Grove CA 95758-0002 |
| Practice Telephone | 7604644548 |
| Mailing Telephone | 7604644548 |
| Enumeration Date | 2020-04-29 |
| Last Update Date | 2020-04-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 31785 | CA | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
31785 | CA | Behavioral Health & Social Service Providers |
| Street Address |
3090 FITE CIR STE 102 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95827-1810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275170235 | Amy Braley | Occupational Therapist | Love Joy Adhc, 10293 Rockingham Dr, Sacramento, CA 95827 | 2019-12-09 |
| 1164078598 | Theresa Marie Reich | Home Health Aide | 9819 Lebra Avenue, Sacramento, CA 95827 | 2019-08-12 |
| 1790257475 | Elissa Beth Crandall | Counselor | 3353 Bradshaw Rd Ste 112, Sacramento, CA 95827 | 2018-12-19 |
| 1649746900 | Christopher Avery Di Domenico | Counselor | North Site: 4441 Auburn Blvd, Suite E, Sacramento, CA 95827 | 2018-10-15 |
| 1285156661 | Keith Ramon Blakely | Counselor | 9738 Lincoln Village, Sacramento, CA 95827 | 2017-07-07 |
| 1376065755 | Julianne Marlene Divirgilio | Counselor | 9738 Lincoln Village Dr., Sacramento, CA 95827 | 2017-07-07 |
| 1275981409 | Carl Phillips Jr. | Counselor | 2819 Pepper Oaks Dr, Sacramento, CA 95827 | 2016-05-27 |
| 1316335581 | Nancy Khun | Counselor | 3990 Branch Center Rd., Sacramento, CA 95827 | 2014-12-22 |
| 1750623385 | Davidshka Lynel Shavers | Counselor | 3340 Viking Dr, Suite 114, Sacramento, CA 95827 | 2013-03-21 |
| 1114263803 | John Kwamena Bankas | Marriage & Family Therapist | 9837 Folsom Blvd., Ste. F, Sacramento, CA 95827 | 2012-12-27 |
| Find all providers in zip 95827 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821608613 | Emily Fortney | Psychologist | 5960 S Land Park Dr # 1194, Sacramento, CA 95822-3313 | 2020-08-06 |
| 1750916177 | Assessment and Development Center of Sacramento | Psychologist | 1555 River Park Dr Ste 103, Sacramento, CA 95815-4603 | 2020-03-05 |
| 1376009068 | Alexis Piciucco | Psychologist | 9700 Business Park Dr Ste 207, Sacramento, CA 95827-1717 | 2019-02-18 |
| 1235625765 | John Alan Foster | Psychologist | 8943 Twin Falls Dr, Sacramento, CA 95826-2136 | 2018-07-09 |
| 1447609995 | Susan Mendez | Psychologist | 1453 45th St, Sacramento, CA 95819-4137 | 2016-06-06 |
| 1881065993 | Tara Cryderman | Psychologist | 2801 57th St, Sacramento, CA 95817-2403 | 2015-10-14 |
| 1194122069 | Satinder Gill | Psychologist | 4701 X St Ste E, Sacramento, CA 95817-2219 | 2014-11-20 |
| 1093119489 | Robert Alexander Prentice | Psychologist | 2228 Murieta Way, Sacramento, CA 95822-2851 | 2014-10-14 |
| 1407284516 | Christina Nicole Spragg | Psychologist | 2109 J St, Suite # 201, Sacramento, CA 95816-4709 | 2013-10-29 |
| 1891128062 | Sarvenaz Sepehri | Psychologist | 601 University Ave Ste 144, Sacramento, CA 95825-6706 | 2013-08-12 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95827 |
Please comment or provide details below to improve the information on DR. JENE EDWARDS.
| 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.