Active NPI
Jillian Harrington Palermo
- Behavior Technician
- San Jose, CA
National Provider Identifier
1053182378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-23-261171
- Practice address
- 1302 N 4TH St
San Jose, CA 95112-4713 - Phone
- (669) 308-7124
- NPI assigned
- Jan 15, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-23-261171 | Primary |
Addresses
Primary practice location
1302 N 4TH St
San Jose, CA 95112-4713
Mailing address
1201 Parkmoor Ave Apt 1425
San Jose, CA 95126-3567
Phone (781) 568-9947
Other names 1
- Jillian Elizabeth Harrington
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705276800000",
"number": "1053182378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 PARKMOOR AVE APT 1425",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951263567",
"telephone_number": "781-568-9947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1302 N 4TH ST",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951124713",
"telephone_number": "669-308-7124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALERMO",
"first_name": "JILLIAN",
"middle_name": "HARRINGTON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-15",
"last_updated": "2024-01-15",
"certification_date": "2024-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": "RBT-23-261171",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JILLIAN",
"last_name": "HARRINGTON",
"middle_name": "ELIZABETH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.