Active NPI
Jennifer Naumann Krosp, PSY.D.
- Clinical Psychologist
- Ventura, CA
National Provider Identifier
1487962460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 23094
- Practice address
- 950 County Square Dr
Suite 103
Ventura, CA 93003-5410 - Phone
- (805) 665-3012
- Fax
- (805) 256-6487
- NPI assigned
- Sep 23, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 23094 | CA | Primary |
Addresses
Primary practice location
950 County Square Dr
Suite 103
Ventura, CA 93003-5410
Mailing address
950 County Square Dr
Suite 103
Ventura, CA 93003-5410
Phone (805) 665-3012
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250312000515 | CA | Practitioner - Clinical Psychologist | 0547781122 | Practice locations: Ventura, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
950 County Square Dr
Suite 103
Ventura, CA 93003-5422
Phone (805) 665-3012
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23094 | CA | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739923200000",
"number": "1487962460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "950 COUNTY SQUARE DR",
"address_2": "SUITE 103",
"city": "VENTURA",
"state": "CA",
"postal_code": "930035410",
"telephone_number": "805-665-3012",
"fax_number": "805-256-6487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 COUNTY SQUARE DR",
"address_2": "SUITE 103",
"city": "VENTURA",
"state": "CA",
"postal_code": "930035410",
"telephone_number": "805-665-3012",
"fax_number": "805-256-6487"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAUMANN KROSP",
"first_name": "JENNIFER",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-23",
"last_updated": "2025-02-19",
"certification_date": "2025-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "23094",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ventura, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; 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.