Scott A Jensen, PH.D.

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

21860 Issued in CA

Practice address

Department of Psychology
3601 Pacific Ave.
Stockton, CA 95211-0001

Phone

(209) 946-7320

Fax

(209) 946-2454

NPI assigned

Feb 20, 2009

Sex

Male

Sole proprietor

Yes

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

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": "1235088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1487894143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPARTMENT OF PSYCHOLOGY",
            "address_2": "3601 PACIFIC AVE.",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952110001",
            "telephone_number": "209-946-7320",
            "fax_number": "209-946-2454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DEPARTMENT OF PSYCHOLOGY",
            "address_2": "3601 PACIFIC AVE.",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952110001",
            "telephone_number": "209-946-7320",
            "fax_number": "209-946-2454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "SCOTT",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-20",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CA",
            "license": "21860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenny Qian Sheen, DDS, Inc.
• David F Jensen, MD
• Kelly Jensen
• Kendell Lena Jensen, B.S., SLPA
• Marie Jensen
• Michael Jeremiah Jeremku
• Jeremy Jacobs May, DDS, Inc.
• Jeremy Jacobs May, DDS, Inc.
• Dezane Jermaine
• Jerome M. McDonald, M.D. Inc.

• Clinical Child & Adolescent Psychologist in Stockton, CA
• Providers in Stockton, CA by specialty
• Clinical Child & Adolescent Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; 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.