Active NPI
Jennifer Weesner, PH.D.
- Clinical Psychologist
- Paradise, CA
National Provider Identifier
1083892954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY 22760
- Practice address
- 6076 Pentz Rd
Paradise, CA 95969-5541 - Phone
- (530) 413-8422
- NPI assigned
- Feb 3, 2008
- Last updated
- Dec 2, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY 22760 | CA | Primary |
Addresses
Primary practice location
6076 Pentz Rd
Paradise, CA 95969-5541
Mailing address
6076 Pentz Rd
Paradise, CA 95969-5541
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 22760 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259712000000",
"number": "1083892954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6076 PENTZ RD",
"city": "PARADISE",
"state": "CA",
"postal_code": "959695541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6076 PENTZ RD",
"city": "PARADISE",
"state": "CA",
"postal_code": "959695541",
"telephone_number": "530-413-8422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEESNER",
"first_name": "JENNIFER",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-03",
"last_updated": "2009-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY 22760",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Paradise, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.