Ralph Joseph Kiernan, PH.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PSY4151 Issued in CA

Practice address

200 Middlefield Rd
Suite 100
Menlo Park, CA 94025-4002

Phone

(650) 324-8565

Fax

(650) 324-8565

NPI assigned

Apr 16, 2007

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

Other names 1

• Ralph Margolies-Kiernan Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073738134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MIDDLEFIELD RD",
            "address_2": "SUITE 100",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254002",
            "telephone_number": "650-324-8565",
            "fax_number": "650-324-8565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MIDDLEFIELD RD",
            "address_2": "SUITE 100",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254002",
            "telephone_number": "650-324-8565",
            "fax_number": "650-324-8565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIERNAN",
        "first_name": "RALPH",
        "middle_name": "JOSEPH",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY4151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RALPH",
            "last_name": "MARGOLIES-KIERNAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kewmars Keyvani, MD
• Ahmed Khan
• Sonya Khan, MD
• Lenna Ghosheh Khayat
• Dhira Khosla, DO
• Stephanie Johnson Kiewlich, PSYD
• Mary Pat Killoran, MSW
• Charles Kim, M.D.
• Jinsung Kim
• Judy Yoo Jin Kim, MD

• Clinical Neuropsychologist in Menlo Park, CA
• Providers in Menlo Park, CA by specialty
• Clinical Neuropsychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.