Jennifer Paula Beck, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

G78718 Issued in CA

Practice address

1400 N Dutton Ave
Suite 6
Santa Rosa, CA 95401-4657

Phone

(707) 566-4600

Fax

(707) 566-4644

NPI assigned

Jan 16, 2007

Last updated

Jun 28, 2013By the provider in NPPES

Sex

Female

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

Enrolled in CA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• County of Sonoma

  • Community Health Clinic/Center
  • Cloverdale, CA
  • NPI 1952637027
  Medicare reassignment NPD
• County of Sonoma

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Santa Rosa, CA
  • NPI 1306050828
  NPD
• County of Sonoma-Department of Health

  • Adult Mental Health Clinic/Center
  • Santa Rosa, CA
  • NPI 1336353952
  NPD
• Psych Strategies Inc a Psychological Corp

  dba PsychStrategies

  • Psychologist
  • Santa Rosa, CA
  • NPI 1699775411
  NPD (past)
• St. Joseph Health Northern California, LLC

  dba Providence Santa Rosa Memorial Hospital

  • Rehabilitation Hospital Unit
  • Santa Rosa, CA
  • NPI 1881814903
  NPD (past)
• Wellmind Center, a Medical Corporation

  • Psychiatry Physician
  • Santa Rosa, CA
  • NPI 1174069371
  NPD (past)

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372377600000",
    "number": "1669523387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 N DUTTON AVE",
            "address_2": "SUITE 6",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954014657",
            "telephone_number": "707-566-4600",
            "fax_number": "707-566-4644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N DUTTON AVE",
            "address_2": "SUITE 6",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954014657",
            "telephone_number": "707-566-4600",
            "fax_number": "707-566-4644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECK",
        "first_name": "JENNIFER",
        "middle_name": "PAULA",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2013-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G78718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Lance Beaudoin, MA
• Brandon Marc Beccio, MFT
• Shana Becerra
• Patricia Bechtold, LPCC
• Amber Beck, SUDRC
• Sonia Elaine Beck
• Lucinda Beckley, LMFT
• Carina Kathleen Beckmann, MS, CCC-SLP
• Ripika Bedi, DO
• Elisabeth Bedolla Rocha, M.D.

• Psychiatry Physician in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.