Jonathan Tennison, ED.S., NCSP, LEP

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

4358 Issued in CA

Practice address

4192 Piedmont Ave
Oakland, CA 94611-5133

Phone

(512) 565-0187

NPI assigned

Nov 27, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1701043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1063288561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20703",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946200703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4192 PIEDMONT AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946115133",
            "telephone_number": "512-565-0187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENNISON",
        "first_name": "JONATHAN",
        "credential": "ED.S., NCSP, LEP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-11-27",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "CA",
            "license": "4358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Athenia Teng
• Justin Junhuan Teng, M.D.
• Juanik Tenner
• Jennifer A. Tenney, MD
• Emily Tennison, MSW, LCSW
• Selome W Tensaye
• Ami Chirstine Teodoro, MLP-PA
• Elaine Teologo, LVN, CMT, LAC
• Lauren Tepe
• Michael Terao

• School Psychologist in Oakland, CA
• Providers in Oakland, CA by specialty
• School Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.