Individual provider Active NPI

Jana Parker, LEP, ABSNP

  • School Psychologist
  • Campbell, CA
National Provider Identifier
1659778009
Registry record updated Jun 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
3272 Issued in CA
Practice address
51 E Campbell Ave Ste 109
Campbell, CA 95008-2047
Phone
(692) 822-5106
NPI assigned
Dec 1, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 3272 CA Primary

Addresses

Primary practice location

51 E Campbell Ave Ste 109
Campbell, CA 95008-2047

Mailing address

51 E Campbell Ave Ste 109
Campbell, CA 95008-2047
Phone (831) 345-9999

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3272CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mind by Design School CurrentSince Jun 18, 2023 Accepting new patients
Center for Developing Minds Medical Corporation Past Accepting new patients

Locations

51 E Campbell Ave
Ste 109
Campbell, CA 95008
Phone (669) 282-2510

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1417392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686441600000",
    "number": "1659778009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 E CAMPBELL AVE STE 109",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950082047",
            "telephone_number": "831-345-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 E CAMPBELL AVE STE 109",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950082047",
            "telephone_number": "692-822-5106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "JANA",
        "credential": "LEP, ABSNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-01",
        "last_updated": "2023-06-11",
        "certification_date": "2023-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "CA",
            "license": "3272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbell, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.