Jennifer Wells Kaupp, PH.D., PSYCHOLOGIST

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY 19554 Issued in CA

Practice address

412 Cedar St
Suite C
Santa Cruz, CA 95060-4369

Phone

(831) 429-9314

Fax

(831) 427-1556

NPI assigned

May 10, 2007

Sex

Female

Sole proprietor

Yes

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

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302134400000",
    "number": "1326252917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 CEDAR ST",
            "address_2": "SUITE C",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950604369",
            "telephone_number": "831-429-9314",
            "fax_number": "831-427-1556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 CEDAR ST",
            "address_2": "SUITE C",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950604369",
            "telephone_number": "831-429-9314",
            "fax_number": "831-427-1556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUPP",
        "first_name": "JENNIFER",
        "middle_name": "WELLS",
        "name_prefix": "Dr.",
        "credential": "PH.D., PSYCHOLOGIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2011-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 19554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raqib Lynn Katz, L.AC
• Michael Kauert
• Kate Kaufman
• John L Kaufmann, MD
• Erik Ivan Kaul, M.S., LMFT
• Nihal Kaur, L.AC.
• Susan Harriet Kavanagh, AMFT
• Glenn Alan Kazmierski, L.AC.
• Cassidy Ke
• Nicole Marie Keadle

• Clinical Psychologist in Santa Cruz, CA
• Providers in Santa Cruz, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2011; 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.