Jeanne Klein Clevenger, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

24734 Issued in CA

Practice address

2198 E Villa St
#6
Pasadena, CA 91107-2468

Phone

(213) 675-6792

NPI assigned

Mar 22, 2007

Last updated

Aug 6, 2012By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344211200000",
    "number": "1710003447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2198 E VILLA ST",
            "address_2": "#6",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911072468",
            "telephone_number": "213-675-6792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2198 E VILLA ST",
            "address_2": "#6",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911072468",
            "telephone_number": "213-675-6792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEVENGER",
        "first_name": "JEANNE",
        "middle_name": "KLEIN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2012-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "24734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clear Recovery Center, LLC (Clear Behavioral Health)
• Clear View Health Center, Inc
• Clearview Centers LLC (Clearview Outpatient - Pasadena)
• Kiley Clements
• Jaime Kana Clevenger, PT
• Jessica Clignett
• Benjamin Adam Climer, EMT
• Amethyst Luna Cline
• Caroline Cline
• Monica Clinkingbeard

• Clinical Psychologist in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2012; 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.