Jimini Health Psychology Professional Corporation

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

JIMINI HEALTH PSYCHOLOGY PROFESSIONAL CORPORATION

Practice address

548 Gerona Rd
Stanford, CA 94305-8449

Phone

(786) 247-3983

NPI assigned

Jun 5, 2024

Organization subpart

No

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

Authorized official

Name

Chiara Waingarten

Title

Authorized Official

Phone

(786) 247-3983

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1717545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732579200000",
    "number": "1952142770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "548 GERONA RD",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943058449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "548 GERONA RD",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943058449",
            "telephone_number": "786-247-3983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIMINI HEALTH PSYCHOLOGY PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-05",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A",
        "authorized_official_last_name": "WAINGARTEN",
        "authorized_official_first_name": "CHIARA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "786-247-3983"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Mao Jiang
• Yan Jiang, MD
• Yi Jiang, MD
• Jocelyn Michelle Jiao, MD
• Maiqui Jimena, MD
• Haesu Jin, NP
• Allison Christine Joe, OTRL
• Jasmyn Kaur Johal, MD
• Kimberly Bridget Johansson, MD, PHD
• Sonja Kubota Johansson, PSY.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; 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.