Jennifer Storlie, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

26781 Issued in CA

Practice address

5201 Great America Pkwy Ste 320
Santa Clara, CA 95054

Phone

(408) 444-7074

Fax

(408) 290-9945

NPI assigned

Dec 5, 2014

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Golden Ear Medical Group, Inc

  • Specialist
  • Gardena, CA
  • NPI 1760408256
  NPD (past)

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

{
    "created_epoch": "1417737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548201600000",
    "number": "1225436397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 GREAT AMERICA PKWY STE 320",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950541140",
            "telephone_number": "408-444-7074",
            "fax_number": "408-290-9945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 GREAT AMERICA PKWY STE 320",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "95054",
            "telephone_number": "408-444-7074",
            "fax_number": "408-290-9945"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1250 Oakmead Pkwy",
            "address_2": "Suite 210",
            "address_purpose": "LOCATION",
            "city": "Sunnyvale",
            "state": "CA",
            "postal_code": "940854027",
            "country_code": "US",
            "telephone_number": "408-444-7074",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1250 Oakmead Pkwy",
            "address_2": "Suite 210",
            "address_purpose": "LOCATION",
            "city": "Sunnyvale",
            "state": "CA",
            "postal_code": "940854027",
            "country_code": "US",
            "telephone_number": "408-444-7074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STORLIE",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-05",
        "last_updated": "2019-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "26781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSY LICENSE",
            "identifier": "26781",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Arthur Stinson III, MD
• Elaine Ortega Stoenescu, LCSW
• Allison Marie Stokes, PA-C
• Samara Rachel Stone
• John Stoner III, MD
• Kristen Strength, M.D.
• Brooke Noelle Strishock
• Christine Strode, OT/L, CMC
• Katherine Anne Stromska, LMFT
• Inna Strugatsky

• Clinical Psychologist in Santa Clara, CA
• Providers in Santa Clara, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.