Jonathan Paul Serna Clinkenbeard, MS

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY36229 Issued in CA

Practice address

3825 Hopyard Rd Ste 140&202
Pleasanton, CA 94588-8528

Phone

(925) 847-5051

NPI assigned

Jul 2, 2020

Last updated

Jun 4, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Permanente Medical Group Inc

  • Internal Medicine Physician
  • Santa Clara, CA
  • NPI 1073606299
  Medicare reassignment

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

{
    "created_epoch": "1593648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1417574724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 HOPYARD RD STE 140&202",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945888528",
            "telephone_number": "925-847-5051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 HOPYARD RD STE 140&202",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945888528",
            "telephone_number": "925-847-5051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLINKENBEARD",
        "first_name": "JONATHAN",
        "middle_name": "PAUL SERNA",
        "name_prefix": "Mr.",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-02",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY36229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jillian E Clanton, BCBA
• Alexis Rae Clark
• Trisha Lynn Clark
• Clear Choice Pharmacy, LLC (Apotheco Pharmacy Choice Bay Area)
• Cliff Dental Corporatioin (Cliff Dental Corporation)
• Patrick Ryan Coad, BA
• Anais Coalwell
• Rudolph Calvin Cockerham, RN
• Sidney Allan Cohen, MD, PHD
• Dustin Coker

• Psychologist in Pleasanton, CA
• Providers in Pleasanton, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.