Organization Active NPI

Jigsaw Diagnostics, a Professional Psychology Corporation

  • Cognitive & Behavioral Psychologist
  • Menlo Park, CA
National Provider Identifier
1699342436
Registry record updated Jun 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
Legal business name
JIGSAW DIAGNOSTICS, A PROFESSIONAL PSYCHOLOGY CORPORATION
Practice address
2131 Ashton Ave
Menlo Park, CA 94025-6501
Phone
(571) 213-7572
NPI assigned
Jun 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2021

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

Authorized official

Name
Mr. Justin Ho
Title
Treasurer
Phone
(571) 213-7572

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TB0200X Primary

Addresses

Primary practice location

2131 Ashton Ave
Menlo Park, CA 94025-6501

Mailing address

2131 Ashton Ave
Menlo Park, CA 94025-6501
Phone (571) 213-7572

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1623196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623196800000",
    "number": "1699342436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2131 ASHTON AVE",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940256501",
            "telephone_number": "571-213-7572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2131 ASHTON AVE",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940256501",
            "telephone_number": "571-213-7572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIGSAW DIAGNOSTICS, A PROFESSIONAL PSYCHOLOGY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-09",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A",
        "authorized_official_last_name": "HO",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "571-213-7572",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menlo Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; 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.