Active NPI
Jennifer Warden, MED
- School Psychologist
- Aiken, SC
National Provider Identifier
1326441379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 551467
- Practice address
- 1000 Brookhaven Dr
Aiken, SC 29803-2109 - Phone
- (801) 641-2428
- NPI assigned
- Oct 6, 2014
- 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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 551467 | UT | Primary |
Addresses
Primary practice location
1000 Brookhaven Dr
Aiken, SC 29803-2109
Mailing address
6065 Beresford Loop
Apartment #101
Aiken, SC 29801-1098
Phone (801) 953-6094
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)
- Not enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 551467 | UT | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412553600000",
"number": "1326441379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6065 BERESFORD LOOP",
"address_2": "APARTMENT #101",
"city": "AIKEN",
"state": "SC",
"postal_code": "298011098",
"telephone_number": "801-953-6094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 BROOKHAVEN DR",
"city": "AIKEN",
"state": "SC",
"postal_code": "298032109",
"telephone_number": "801-641-2428"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARDEN",
"first_name": "JENNIFER",
"name_prefix": "Mrs.",
"credential": "MED",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-06",
"last_updated": "2014-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "UT",
"license": "551467",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aiken, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.