Active NPI
Janet Ellen Kraemer, PH.D.
- Psychologist
- Los Gatos, CA
National Provider Identifier
1639280076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY14161
- Practice address
- 13980 Blossom Hill Rd
Ste B
Los Gatos, CA 95032-5121 - Phone
- (408) 231-0829
- NPI assigned
- Aug 31, 2006
- 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 | PSY14161 | CA | Primary |
Addresses
Primary practice location
13980 Blossom Hill Rd
Ste B
Los Gatos, CA 95032-5121
Mailing address
13980 Blossom Hill Rd
Ste B
Los Gatos, CA 95032-5121
Phone (408) 231-0829
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2782634 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY14161 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527638400000",
"number": "1639280076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13980 BLOSSOM HILL RD",
"address_2": "STE B",
"city": "LOS GATOS",
"state": "CA",
"postal_code": "950325121",
"telephone_number": "408-231-0829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13980 BLOSSOM HILL RD",
"address_2": "STE B",
"city": "LOS GATOS",
"state": "CA",
"postal_code": "950325121",
"telephone_number": "408-231-0829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAEMER",
"first_name": "JANET",
"middle_name": "ELLEN",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2018-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY14161",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2782634",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Los Gatos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.