DR. JAN E KEARNY (NPI# 1083774343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083774343 |
| Entity Type | Individual |
| Full Name | DR. JAN E KEARNY |
| Credential | PH.D. |
| Practice Address |
1040 Lincoln Ave San Jose CA 95125-3150 |
| Practice Telephone | 4082934489 |
| Practice Fax Number | 4082936188 |
| Mailing Telephone | 4082934489 |
| Mailing Fax Number | 4082936188 |
| Enumeration Date | 2006-12-09 |
| Last Update Date | 2010-10-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY 23808 | CA | Behavioral Health & Social Service Providers |
| Street Address |
1040 LINCOLN AVE |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95125-3150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124361761 | Banita De Ornelas | Marriage & Family Therapist | 1040 Lincoln Ave, San Jose, CA 95125-3150 | 2013-04-02 |
| 1093011165 | Celia Weber Foerster | Marriage & Family Therapist | 1040 Lincoln Ave, San Jose, CA 95125-3150 | 2011-02-07 |
| 1215081161 | Mary Jo Trusso | Marriage & Family Therapist | 1040 Lincoln Ave, San Jose, CA 95125-3150 | 2007-01-22 |
| 1386792562 | Lori Sanders-curry | Marriage & Family Therapist | 1040 Lincoln Ave, San Jose, CA 95125-3150 | 2007-01-06 |
| 1720143407 | Carol Zimbelman | Social Worker | 1040 Lincoln Ave, San Jose, CA 95125-3150 | 2006-12-23 |
| 1972668614 | Edward Louis Subega | Marriage & Family Therapist | 1040 Lincoln Ave, San Jose, CA 95125-3150 | 2006-12-22 |
| 1154486892 | Cynthia Dale Norton | Marriage & Family Therapist | 1040 Lincoln Ave, San Jose, CA 95125-3150 | 2006-12-22 |
| 1669535480 | Amy Lieselotte Kaelehiwa Williams | Marriage & Family Therapist | 1040 Lincoln Ave, San Jose, CA 95125-3150 | 2006-12-19 |
| 1013087816 | Alliance Community Counseling Center | Counselor | 1040 Lincoln Ave, San Jose, CA 95125-3150 | 2006-11-09 |
| 1003993205 | Cherise A Stewart | Marriage & Family Therapist | 1040 Lincoln Ave, San Jose, CA 95125 | 2006-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285245431 | Carmen J. Frank | Marriage & Family Therapist | 913 Willow St., Suite 103, San Jose, CA 95125 | 2020-08-12 |
| 1376197848 | Mariam Samir Abadir | Dentist | 1670 Westwood Dr. Suite K, San Jose, CA 95125 | 2019-08-01 |
| 1750870747 | Gertrud Stojancic | Massage Therapist | 3315 Almaden Expressway, # 27/29, San Jose, CA 95125 | 2018-05-04 |
| 1659809259 | Edward Escoto | Assistant Behavior Analyst | 2075 Lincoln Ave Ste D, San Jose, CA 95125 | 2017-05-25 |
| 1104288422 | Kristin Ann Dessau | Counselor | 1261 Lincoln Avenue, Suite 202, San Jose, CA 95125 | 2016-03-25 |
| 1275964488 | Indian Health Center of Santa Clara Valley | Clinic/Center | 1685 Westwood Dr Ste 1, San Jose, CA 95125 | 2013-12-13 |
| 1598042905 | Walgreens | Exclusive Provider Organization | 2585 Almaden Road, San Jose, CA 95125 | 2011-11-14 |
| 1881981488 | Kevin Jia-chian Yen | Dentist | 1660 Willow St Ste 5, San Jose, CA 95125 | 2011-07-02 |
| 1699093724 | Lokahi Acupuncture, Inc. | Acupuncturist | 1688 Willow Street, Suite B, San Jose, CA 95125 | 2010-05-13 |
| 1538482468 | Mark Lucius Yoslow | Psychologist | 970 Minnesota Avenue, San Jose, CA 95125 | 2010-03-06 |
| Find all providers in zip 95125 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861023020 | Widyasita Sawyer | Psychologist | 1189 Curtner Ave, San Jose, CA 95125-3618 | 2020-01-27 |
| 1861030033 | Maria-christina Stewart | Psychologist | 3141 Stevens Creek Blvd # 40167, San Jose, CA 95117-1141 | 2019-12-18 |
| 1306404504 | Palak Dipak Kothari | Psychologist | 20 S 2nd St Unit 425, San Jose, CA 95113-2532 | 2019-06-03 |
| 1942762299 | Dr. Danessa Mayo, Phd | Psychologist | 1190 Lincoln Ave Ste 7, San Jose, CA 95125-3036 | 2019-04-04 |
| 1104362433 | Samantha Kountz-edwards | Psychologist | 1588 Hallbrook Dr, San Jose, CA 95118-1611 | 2017-01-10 |
| 1306243530 | Kell Fujimoto | Psychologist | 2845 Moorpark Ave, Suite 203, San Jose, CA 95128-3158 | 2014-12-03 |
| 1174964092 | Brandi Marche Brooks | Psychologist | 1866 Half Pence Way, San Jose, CA 95132 | 2013-07-08 |
| 1306181284 | Marion Marsha Wadley | Psychologist | 1443 Lupton Ave, San Jose, CA 95125-3847 | 2012-12-04 |
| 1639433709 | Janice Jaishika Raj | Psychologist | 2400 Moorpark Ave., #300, San Jose, CA 95128 | 2012-07-03 |
| 1114296803 | Amanda M Walters | Psychologist | 1101 S Winchester Blvd Ste P297, San Jose, CA 95128 | 2011-12-24 |
| Find all providers in SAN JOSE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.