Jennifer Park, Psychologist

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY27972 Issued in CA

Legal business name

JENNIFER PARK, PSYCHOLOGIST

Practice address

900 Welch Rd
Suite 400
Palo Alto, CA 94304-1805

Phone

(408) 426-5725

NPI assigned

Aug 23, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jennifer M Park, PHD

Title

Psychologist

Phone

(408) 426-5725

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1471910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471910400000",
    "number": "1033664727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 LINFIELD DR",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940253741",
            "telephone_number": "909-973-4463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 WELCH RD",
            "address_2": "SUITE 400",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041805",
            "telephone_number": "408-426-5725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER PARK, PSYCHOLOGIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-23",
        "last_updated": "2016-08-23",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "408-426-5725",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY27972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Jenkins, CPNP-AC
• Robert Chauncey Jenkins, PH.D.
• Jennifer Anne Jenks, MD, PHD
• Shelby Jennett
• Jennifer Baron, MD, a Medical Corporation
• Ann Jennings, RNP
• Julia Lea Jennings, PSYD
• Jenny Yoo-Park, DMD, Ms, Inc
• Erik Allen Jensen, M.D.
• Alisa Jenson, RN

• Clinical Psychologist in Palo Alto, CA
• Providers in Palo Alto, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.