Jan E Kearny, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY 23808 Issued in CA

Practice address

1040 Lincoln Ave
San Jose, CA 95125-3150

Phone

(408) 293-4489

Fax

(408) 293-6188

NPI assigned

Dec 9, 2006

Sex

Female

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

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Alliance Community Counseling Center

  • Counselor
  • San Jose, CA
  • NPI 1013087816
  NPD (past) Authorized official
• Center for Day Surgery

  • Ambulatory Surgical Clinic/Center
  • Tullahoma, TN
  • NPI 1881699106
  NPD (past)

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

{
    "created_epoch": "1165622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288051200000",
    "number": "1083774343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 LINCOLN AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951253150",
            "telephone_number": "408-293-4489",
            "fax_number": "408-293-6188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 LINCOLN AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951253150",
            "telephone_number": "408-293-4489",
            "fax_number": "408-293-6188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEARNY",
        "first_name": "JAN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-09",
        "last_updated": "2010-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 23808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natasha Kazmi
• KC Pharmacy Corporation
• Kcare Homes LLC
• Sally Kea
• Lelanya Kearns, MD
• Chandria Ariel Keat
• Habtamu Golla Kebede, RBT
• Sehene Kebede, MFTI
• Beth R. Keegstra, M.D
• Adrienne Michelle Keel, B.A.

• Clinical Psychologist in San Jose, CA
• Providers in San Jose, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; 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.