Jennifer Hafdal, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

32262 Issued in CA

Practice address

1302 N 4TH St
San Jose, CA 95112-4713

Phone

(408) 455-8711

NPI assigned

May 25, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Jennifer Frazier Former name

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": "1274745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1366761645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 N 4TH ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951124713",
            "telephone_number": "408-455-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 N 4TH ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951124713",
            "telephone_number": "408-455-8711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAFDAL",
        "first_name": "JENNIFER",
        "name_prefix": "Ms.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-25",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY32262",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "32262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "FRAZIER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tamer M Hadi, M.D.
• Nasim Hadiashar, DDS
• Amir G. Hadid, MD
• Bridget Haerr
• Laurel Ann Haeusslein, RN, NP
• Benjamin Thomas Hafkenschiel, MD
• Claire Hafter, PA-C
• Naoko Haga, MFT
• Kent Hagen, M.D.
• Mary Hager

• Clinical Psychologist in San Jose, CA
• Providers in San Jose, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; 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.