Aurianne Jacobs Dorsay, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY17536 Issued in CA

Practice address

1660 Hamilton Ave Ste 201
San Jose, CA 95125-5434

Phone

(408) 712-3177

Fax

(408) 496-9800

NPI assigned

Oct 2, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 1, 2015 through Oct 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1255424982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 HAMILTON AVE STE 201",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951255434",
            "telephone_number": "408-712-3177",
            "fax_number": "408-496-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 HAMILTON AVE STE 201",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951255434",
            "telephone_number": "408-712-3177",
            "fax_number": "408-496-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORSAY",
        "first_name": "AURIANNE",
        "middle_name": "JACOBS",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "17536",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY17536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dorothy Ponton
• Amy Marie Dorr
• Patricia Barbara Dorrell, PT
• Alaetra Jeneese Dorsa, MHRS, BA, MA
• Adam Dorsay, PSY.D.
• Kaitlin G Dorstewitz, BCBA #1-25-83920
• Parul Doshi
• Dahren Doss, DC
• Craig Arthur Dossman Sr., PHD
• Alexis Leanne Doty

• 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 Feb 27, 2024; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.