Kirsten Javernick

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

7798812462 Issued in CA

Practice address

2010 W Swain Rd
Stockton, CA 95207-4055

Phone

(209) 953-8700

NPI assigned

Jan 5, 2026

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lincoln Unified School District

  • Local Education Agency (LEA)
  • Stockton, CA
  • NPI 1366590580
  NPD (past)

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

{
    "created_epoch": "1767571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1114884954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4128 FEATHER RIVER DR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952196541",
            "telephone_number": "209-953-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 W SWAIN RD",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952074055",
            "telephone_number": "209-953-8700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4128 Feather River Dr",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952196541",
            "country_code": "US",
            "telephone_number": "209-953-8660",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "915 Rosemarie Ln",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952076803",
            "country_code": "US",
            "telephone_number": "209-888-0160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAVERNICK",
        "first_name": "KIRSTEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-01-05",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, School",
            "state": "CA",
            "license": "7798812462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fabiola Jauregui
• Genesis Jauregui
• Skylar Marie Jauregui
• Haroon A Javaid
• Suryabanu Javeed
• Rihan Javid, D.O.
• Eric L Javier
• Marilyn Garcia Javier, NP
• Rainier Restie Javier
• Joel Castillo Javillonar

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; 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.