Active NPI
Elizabeth Harris Jenks, PH.D.
- Clinical Psychologist
- Pasadena, CA
National Provider Identifier
1306042759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY 13336
- Practice address
- 2471 East Walnut Street
Pasadena, CA 91107 - Phone
- (626) 793-5141
- Fax
- (626) 577-4988
- NPI assigned
- Jun 22, 2007
- 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 | PSY 13336 | CA | Primary |
Addresses
Primary practice location
2471 East Walnut Street
Pasadena, CA 91107
Mailing address
2471 East Walnut Street
Pasadena, CA 91107
Phone (626) 793-5141
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 13336 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri-City Mental Health Center | Past | Accepting new patients | |
| Pacific Clinics | Past | Accepting new patients | |
| Tri-City Mental Health Authority | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Community/Behavioral Health Agency
- Pasadena, CA
- NPI 1447395868
-
- Community/Behavioral Health Agency
- Pomona, CA
- NPI 1346304920
-
- Case Management Agency
- Pomona, CA
- NPI 1255651501
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306042759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2471 EAST WALNUT STREET",
"city": "PASADENA",
"state": "CA",
"postal_code": "91107",
"telephone_number": "626-793-5141",
"fax_number": "626-577-4988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2471 EAST WALNUT STREET",
"city": "PASADENA",
"state": "CA",
"postal_code": "91107",
"telephone_number": "626-793-5141",
"fax_number": "626-577-4988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKS",
"first_name": "ELIZABETH",
"middle_name": "HARRIS",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY 13336",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.