Active NPI
Jenine Saekow, PSY.D.
- Clinical Psychologist
- Huntersville, NC
National Provider Identifier
1295277978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY28691
- Practice address
- 15059 Northgreen Dr
Huntersville, NC 28078-2629 - Phone
- (650) 434-2955
- NPI assigned
- Nov 10, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY28691 | CA | Primary |
Addresses
Primary practice location
15059 Northgreen Dr
Huntersville, NC 28078-2629
Mailing address
15059 Northgreen Dr
Huntersville, NC 28078-2629
Phone (650) 434-2955
Medicare participation
Medicare enrollment files- 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
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY28691 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642982400000",
"number": "1295277978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15059 NORTHGREEN DR",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280782629",
"telephone_number": "650-434-2955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15059 NORTHGREEN DR",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280782629",
"telephone_number": "650-434-2955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAEKOW",
"first_name": "JENINE",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-10",
"last_updated": "2022-01-24",
"certification_date": "2022-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY28691",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntersville, NC
- Pavel Alexandrovich Rybin, PA-C
- Jenna Rose Sackenheim, PA-C
- Jennifer Lynn Sadoff, PH.D.
- Joshua Simon Sadolf, M.D.
- Suzanne Marie Sadusky, PT
- Myra Saha, D.O.
- Sal C Zammitti DMD MMSC PLLC and Matthew P Gidaly DDS PLLC V
- Sal C Zammitti DMD MMSC PLLC and Matthew P Gidaly DDS PLLC VI
- Jessica Fransica Salinas, FNP-C
- Raminder Kaur Saluja, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; 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.