Dr. Jerry Dampier, Licensed Psychologist

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

DR. JERRY DAMPIER, LICENSED PSYCHOLOGIST

Practice address

1163 Hopper Ave
Santa Rosa, CA 95403-1606

Phone

(415) 866-9647

Fax

(415) 866-9647

NPI assigned

Jun 15, 2026

Organization subpart

No

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

Authorized official

Name

Dr. Jerry Dampier, PSYCHOLOGIST

Title

President/Private Practice Owner

Phone

(415) 866-9647

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1781481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781481600000",
    "number": "1306771266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1163 HOPPER AVE APT 42",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954031636",
            "telephone_number": "415-866-9647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1163 HOPPER AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954031606",
            "telephone_number": "415-866-9647",
            "fax_number": "415-866-9647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JERRY DAMPIER, LICENSED PSYCHOLOGIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-15",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-14",
        "status": "A",
        "authorized_official_last_name": "DAMPIER",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "PRESIDENT/PRIVATE PRACTICE OWNER",
        "authorized_official_telephone_number": "415-866-9647",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYCHOLOGIST"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; 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.