Individual provider Active NPI

Jennifer Ho, PSY.D.

  • Clinical Psychologist
  • Cary, NC
National Provider Identifier
1992346548
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
31299 Issued in CA
Practice address
964 High House Rd # 3262
Cary, NC 27513-3574
Phone
(650) 493-5000
NPI assigned
Oct 4, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 31299 CA Primary

Addresses

Primary practice location

964 High House Rd # 3262
Cary, NC 27513-3574

Mailing address

964 High House Rd # 3262
Cary, NC 27513-3574
Phone (650) 383-0146

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230928002662 CA Practitioner - Clinical Psychologist 6103270871 Practice locations: Mountain View, CA
I20231127001505 NC Practitioner - Clinical Psychologist 6103270871 Practice locations: Cary, NC

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Mountain View, CA 94040
Phone (650) 383-0146

964 High House Rd
Cary, NC 27513-3574
Phone (650) 383-0146

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31299CAMDMarriage & Family Therapist
6354NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Still Harbor Psychology PLLC Current Accepting new patients

Locations

964 High House Rd
Cary, NC 27513
Phone (910) 644-0887

Organizations & group practices 1

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": "1570147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1992346548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "964 HIGH HOUSE RD # 3262",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275133574",
            "telephone_number": "650-383-0146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "964 HIGH HOUSE RD # 3262",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275133574",
            "telephone_number": "650-493-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HO",
        "first_name": "JENNIFER",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-04",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "31299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.