Kristin M Jensen, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

23779 Issued in TX

Practice address

3800 E 42ND St
Suite #315
Odessa, TX 79762-5946

Phone

(432) 550-0224

Fax

(432) 550-3616

NPI assigned

Aug 3, 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)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191542400000",
    "number": "1225046840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 E 42ND ST",
            "address_2": "SUITE #315",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797625946",
            "telephone_number": "432-550-0224",
            "fax_number": "432-550-3616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 E 42ND ST",
            "address_2": "SUITE #315",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797625946",
            "telephone_number": "432-550-0224",
            "fax_number": "432-550-3616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "KRISTIN",
        "middle_name": "M",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2007-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "23779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eileen Jaquez, PTA
• Bhavik Jariwala, MD
• Kassandra Rodriguez Jasso, OTR
• Jeffrey B Manley MD PA
• John C Jennings, M.D.
• Jeremy a. Denman, D.D.S., P.C.
• Lizbeth Jimenez, MA. LPC
• Mabel Jimenez, MD
• Babatunde Adegbite Jinadu, MD, MPH
• Joanna Lynn Riley

• Psychologist in Odessa, TX
• Providers in Odessa, TX by specialty
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.