Jeanne Elise Menary, ED.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY14095 Issued in CA

Practice address

8 Southwood CT.
Orinda, CA 94563

Phone

(510) 845-4656

Fax

(925) 253-1275

NPI assigned

Mar 13, 2007

Last updated

Apr 22, 2021By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619049600000",
    "number": "1780716712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 SOUTHWOOD CT.",
            "city": "ORINDA",
            "state": "CA",
            "postal_code": "94563",
            "telephone_number": "510-845-4656",
            "fax_number": "925-253-1275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 SOUTHWOOD CT.",
            "city": "ORINDA",
            "state": "CA",
            "postal_code": "94563",
            "telephone_number": "510-845-4656",
            "fax_number": "925-253-1275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENARY",
        "first_name": "JEANNE",
        "middle_name": "ELISE",
        "name_prefix": "Ms.",
        "credential": "ED.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY14095",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY14095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.