Jon Norman Jensen, PH.D.

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

LP5024 Issued in MN

Practice address

7840 Vinewood Lane
Maple Grove, MN 55369-4655

Phone

(763) 236-0287

Fax

(763) 420-5531

NPI assigned

Mar 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297900800000",
    "number": "1336118603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7840 VINELAND LANE N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553694655",
            "telephone_number": "763-236-0287",
            "fax_number": "763-420-5531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7840 VINEWOOD LANE",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553694655",
            "telephone_number": "763-236-0287",
            "fax_number": "763-420-5531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "JON",
        "middle_name": "NORMAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2011-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CA",
            "license": "PSY12343",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MN",
            "license": "LP5024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1336118603",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jayden2006
• Alexandra Jean, M.H.SC., (C) CCC-SLP
• Cydney Jean, DC
• Kevin Christopher Jean, DC
• Kamrun Jenabzadeh, M.D.
• Judy M Jensen, D.C.
• Lisa Jensen
• Don Lee Jewell, D.C.
• Jka5 Maple Grove Inc
• Joy Johansen

• Clinical Child & Adolescent Psychologist in Maple Grove, MN
• Providers in Maple Grove, MN by specialty
• Clinical Child & Adolescent Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.