Jean Ellen Densmore John, PH.D., M.S., R.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY23961 Issued in CA

Practice address

855 Estrella Dr.
Santa Barbara, CA 93101

Phone

(805) 563-2217

Fax

(805) 563-2217

NPI assigned

Jan 12, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other names 1

• Dr. Jean E. John Professional name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463702400000",
    "number": "1326198938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 ESTRELLA DR",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931102126",
            "telephone_number": "805-563-2217",
            "fax_number": "805-563-2217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 ESTRELLA DR.",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "93101",
            "telephone_number": "805-563-2217",
            "fax_number": "805-563-2217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENSMORE JOHN",
        "first_name": "JEAN",
        "middle_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "PH.D., M.S., R.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2016-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY23961",
            "primary": true
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WI",
            "license": "RD441285",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEAN",
            "last_name": "JOHN",
            "middle_name": "E.",
            "prefix": "DR.",
            "credential": "PH.D., M.S., R.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jewell M Dennis
• Michael Thomas Bryan Dennis, M.D.
• Nicole Denise Dennis, NP, RN, CPNP
• Trevor Lowell Denny, D.D.S, M.A.
• Venessa Denny
• Kim Loudel Densmore
• Thomas Logan Dent, M.D.
• Alex M Depaoli, M.D.
• Julia Depaoli, PT, DPT
• Vincent Pope Derosa, M.D.

• Psychologist in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.