Active NPI
Jenilee Sneed, PHD
- Psychologist
- Grover Beach, CA
National Provider Identifier
1588333637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY30791
- Practice address
- 1436 Seabright Ave
Grover Beach, CA 93433-2521 - Phone
- (805) 888-2440
- NPI assigned
- Sep 12, 2021
- Last updated
- Sep 12, 2021
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY30791 | CA | Primary |
Addresses
Primary practice location
1436 Seabright Ave
Grover Beach, CA 93433-2521
Mailing address
1436 Seabright Ave
Grover Beach, CA 93433-2521
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 15, 2024 through Oct 15, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY30791 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631404800000",
"number": "1588333637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1436 SEABRIGHT AVE",
"city": "GROVER BEACH",
"state": "CA",
"postal_code": "934332521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1436 SEABRIGHT AVE",
"city": "GROVER BEACH",
"state": "CA",
"postal_code": "934332521",
"telephone_number": "805-888-2440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNEED",
"first_name": "JENILEE",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-12",
"last_updated": "2021-09-12",
"certification_date": "2021-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY30791",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grover Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.