Individual provider Active NPI

Kristie Jaghab Treftz

  • Psychologist
  • San Jose, CA
National Provider Identifier
1952585416
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY21655 Issued in CA
Practice address
1888 Meridian Ave
Suite 150
San Jose, CA 95125
Phone
(408) 445-8172
Fax
(408) 266-6614
NPI assigned
Dec 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY21655 CA Primary

Addresses

Primary practice location

1888 Meridian Ave
Suite 150
San Jose, CA 95125

Mailing address

1333 Meridian Ave
San Jose, CA 95125-5212
Phone (408) 445-3400

Other practice location 1

1333 Meridian Ave
San Jose, CA 95125-5212
Phone (408) 445-3400 ext. 320

Other practice location 2

2039 Forest Ave Ste 105
San Jose, CA 95128-4815
Phone (408) 947-2929

Other practice location 3

1642 E Capitol Expy
San Jose, CA 95121-1800
Phone (408) 283-7676

Other practice location 4

455 OConnor Dr Ste 200
San Jose, CA 95128-1632
Phone (408) 283-7676

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081022000231 CA Practitioner - Clinical Psychologist 0749348662 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21655CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Indian Health Center of Santa Clara Valley CurrentSince Mar 23, 2018 Accepting new patients
Indian Health Center of Santa Clara Valley CurrentSince Mar 23, 2018 Accepting new patients
Indian Health Center of Santa Clara Valley Current Accepting new patients

Locations

1333 Meridian Ave
San Jose, CA 95125

1642 E Capitol Expy
San Jose, CA 95121
Phone (408) 270-0112

25 N 14th St
Ste 130
San Jose, CA 95112
Phone 40844534003730

1118 Meridian Ave
San Jose, CA 95125
Phone (408) 445-8172

602 E Santa Clara St
San Jose, CA 95112
Phone 4084453400 ext. 333

602 E Santa Clara St
Ste 200
San Jose, CA 95112

455 Oconnor Dr
Ste 200
San Jose, CA 95128
Phone (408) 283-7666

1118 Meridian Ave
Ste 150
San Jose, CA 95125
Phone (408) 445-8172

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749168000000",
    "number": "1952585416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 MERIDIAN AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951255212",
            "telephone_number": "408-445-3400",
            "fax_number": "408-350-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1888 MERIDIAN AVE",
            "address_2": "SUITE 150",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95125",
            "telephone_number": "408-445-8172",
            "fax_number": "408-266-6614"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1333 Meridian Ave",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951255212",
            "country_code": "US",
            "telephone_number": "408-445-3400 x320",
            "fax_number": "408-350-2411",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2039 Forest Ave Ste 105",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951284815",
            "country_code": "US",
            "telephone_number": "408-947-2929",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1642 E Capitol Expy",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951211800",
            "country_code": "US",
            "telephone_number": "408-283-7676",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "455 OConnor Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951281632",
            "country_code": "US",
            "telephone_number": "408-283-7676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TREFTZ",
        "first_name": "KRISTIE",
        "middle_name": "JAGHAB",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-19",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY21655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.