Active NPI
Jigsaw Diagnostics, a Professional Psychology Corporation
- Cognitive & Behavioral Psychologist
- Menlo Park, CA
National Provider Identifier
1699342436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cognitive & Behavioral Psychologist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 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 DirectoryNPI 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.