Richard Dean Jennen, PSY.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

3988 Issued in AZ

Practice address

7461 E Tanque Verde Rd
Tucson, AZ 85715-3477

Phone

(520) 352-9955

Fax

(520) 352-9960

NPI assigned

Sep 16, 2008

Last updated

Feb 5, 2016By 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 AZ

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Children's Clinics for Rehabilitative Services

  dba Children's Clinics

  • Multi-Specialty Clinic/Center
  • Tucson, AZ
  • NPI 1063454346
  Medicare reassignment NPD
• Neuropsychology LTD

  • Clinical Neuropsychologist
  • Tucson, AZ
  • NPI 1881867570
  Medicare reassignment NPD

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

{
    "created_epoch": "1221523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454630400000",
    "number": "1487803342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 E RIVER RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857186526",
            "telephone_number": "520-352-9955",
            "fax_number": "520-352-9960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7461 E TANQUE VERDE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857153477",
            "telephone_number": "520-352-9955",
            "fax_number": "520-352-9960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNEN",
        "first_name": "RICHARD",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-16",
        "last_updated": "2016-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "AZ",
            "license": "3988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lydia Jenkins, D.O.
• Mona Ann Jenkins, PTA
• Shawnna Lynn Jenkins, FNP-C
• Cory Michael Jenks, PHARMD
• Jenna Park DMD PLC
• Jennifer a Mohr DDS PLLC (Mohr Smiles)
• Jennifer Jacobson MSN Pmhnp-BC PLLC
• Jennifer Lin M.D.
• Jennifer Parks, PLLC
• Jennifer Spera DDS PLLC

• Clinical Neuropsychologist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Clinical Neuropsychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.