Jennifer Bob, PSY.D.

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

PSY31444 Issued in CA

Practice address

3331 Power Inn Rd Ste 140
Sacramento, CA 95826-3889

Phone

(916) 875-1183

NPI assigned

May 25, 2015

Last updated

Sep 20, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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.

• County of Sacramento

  • Radiology Clinic/Center
  • Sacramento, CA
  • NPI 1508936030
  NPD (past)

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

{
    "created_epoch": "1432512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600560000000",
    "number": "1285013177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3331 POWER INN RD STE 140",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958263889",
            "telephone_number": "916-875-1183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3331 POWER INN RD STE 140",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958263889",
            "telephone_number": "916-875-1183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOB",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-25",
        "last_updated": "2020-09-20",
        "certification_date": "2020-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CA",
            "license": "PSY31444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelina Boado
• Jennette Boakes, M.D.
• Nkechi Philomina Boate
• Bob Ghelfi MD PC (BodyLogicMD of Sacramento)
• Bruce Alan Bob, M.D.
• Mayra L Bobadilla, PA-C
• Melina Monique Bobadilla, FNP
• Marie Bobbitt
• Lisa Ann Bober, MFC 24405
• Margaret Bobinski, D.D.S.

• Clinical Child & Adolescent Psychologist in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Clinical Child & Adolescent Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2020; 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.