Active NPI
Jennifer L Gildner, PH.D.
- Counseling Psychologist
- Davis, CA
National Provider Identifier
1811267115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- PSY24958
- Practice address
- One Shields Avenue
219 North Hall, UC Davis
Davis, CA 95616 - Phone
- (530) 752-0871
- Fax
- (530) 752-9923
- NPI assigned
- Jan 4, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | LP5268 | MN | |
| Counseling Psychologist | 103TC1900X | PSY24958 | CA | Primary |
Addresses
Primary practice location
One Shields Avenue
219 North Hall, UC Davis
Davis, CA 95616
Mailing address
One Shields Avenue
Caps - University of California, Davis
Davis, CA 95616
Phone (530) 752-0871
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY24958 | CA | MD | Counseling Psychologist |
| LP5268 | MN | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Counseling and Psychological Services | Past | Accepting new patients | |
| Counseling and Psychological Services (Caps | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychologist
- Davis, CA
- NPI 1376701532
-
- Psychologist
- Davis, CA
- NPI 1861650657
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335830400000",
"number": "1811267115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ONE SHIELDS AVENUE",
"address_2": "CAPS - UNIVERSITY OF CALIFORNIA, DAVIS",
"city": "DAVIS",
"state": "CA",
"postal_code": "95616",
"telephone_number": "530-752-0871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ONE SHIELDS AVENUE",
"address_2": "219 NORTH HALL, UC DAVIS",
"city": "DAVIS",
"state": "CA",
"postal_code": "95616",
"telephone_number": "530-752-0871",
"fax_number": "530-752-9923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILDNER",
"first_name": "JENNIFER",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-04",
"last_updated": "2012-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MN",
"license": "LP5268",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "CA",
"license": "PSY24958",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Davis, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.