DR. JENNIFER AULT (NPI# 1205953247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205953247 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER AULT |
| Credential | M.S., D.P.T., D.O. |
| Practice Address |
2850 Telegraph Ave Ste 120 Berkeley CA 94705-1159 |
| Mailing Address |
2350 W El Camino Real Fl 2 Mountain View CA 94040-6203 |
| Practice Telephone | 5102048150 |
| Practice Fax Number | 5106491238 |
| Mailing Telephone | 5102048150 |
| Mailing Fax Number | 5106491238 |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2019-05-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
20A12255 | CA | Allopathic & Osteopathic Physicians |
| Y | 2084P2900X |
Psychiatry & Neurology Specialization: Pain Medicine |
20A12255 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE MEDICAL LICENSE | 20A12255 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124351515 | Jennifer Anne Ault | Occupational Therapist | 85 Bagby Drive, Suite 104, Homewood, AL 35209 | 2009-09-16 |
| 1962618967 | Jennifer Magdalene Ault | Social Worker | 2500 John Glenn Hwy, Cambridge, OH 43725-9028 | 2007-05-15 |
| Street Address |
2850 TELEGRAPH AVE STE 120 |
| City | BERKELEY |
| State | CA |
| Zip Code | 94705-1159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912561689 | Juliana Rachel Fritz | Physician Assistant | 2850 Telegraph Ave Ste 120, Berkeley, CA 94705-1159 | 2019-04-27 |
| 1053830851 | Kelley C Booth | Nurse Practitioner | 2850 Telegraph Ave Ste 120, Berkeley, CA 94705-1159 | 2017-09-12 |
| 1699193888 | Christina Kwan | Internal Medicine | 2850 Telegraph Ave Ste 120, Berkeley, CA 94705-1159 | 2014-04-03 |
| 1760825806 | Sepehr Rejai | Pain Medicine | 2850 Telegraph Ave Ste 120, Berkeley, CA 94705 | 2013-04-08 |
| 1902149263 | Joshua John Samuel | Internal Medicine | 2850 Telegraph Ave Ste 120, Berkeley, CA 94705 | 2013-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447882956 | Diane Lomas Wyatt | Marriage & Family Therapist | 2340 Ward St. Ste 104, Berkeley, CA 94705 | 2020-02-12 |
| 1700371275 | Icecreamwala Dermatology Inc | Dermatology | 2435 Webster St Ste 101, Berkeley, CA 94705 | 2018-06-27 |
| 1396253803 | David R Shaddock | Marriage & Family Therapist | 3030 Ashby Avenue, # 105, Berkeley, CA 94705 | 2018-01-18 |
| 1821504432 | Allegra Tringali | Physical Therapist | 2450 Ashby Ave Fl 6, Berkeley, CA 94705 | 2017-12-19 |
| 1659898740 | Hunter Brown | Student in an Organized Health Care Education/Training Program | Wright Institute Clinical Services 1918 University Ave, Suite 2b, Berkeley, CA 94705 | 2017-08-29 |
| 1588014534 | Heather Valdez | Social Worker | 2185 Ashby Ave, Berkeley, CA 94705 | 2016-06-20 |
| 1215350145 | S.e.e.d.s. (social and Emotional Education Development and Support) | Community/Behavioral Health | 3120 Telegraph Avenue Ste 9, Berkeley, CA 94705 | 2014-01-29 |
| 1144580960 | Benjamin Tucker | Counselor | 2625 Alcatraz Ave Ste 609, Berkeley, CA 94705 | 2012-05-26 |
| 1881966141 | Jennifer Cowherd | Behavioral Analyst | 2201 Woolsey St, Berkeley, CA 94705 | 2012-02-02 |
| 1518255892 | Erika D Huguenard | Counselor | 2811a College Avenue, Berkeley, CA 94705 | 2011-07-20 |
| Find all providers in zip 94705 | ||||
| Taxonomy Code | 2084P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Pain Medicine |
| A neurologist, child neurologists or psychiatrist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Psychiatry and Neurology, 2007. http://www.abpn.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Psychiatry and Neurology. A subspecialty certificate was approved by ABMS in 1998. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073144762 | Integrated Neurology & Pain Management, PC | Psychiatry & Neurology | 155 Glen Cove Marina Rd E Ste 100, Vallejo, CA 94591-7284 | 2020-01-31 |
| 1700423704 | Estera Luminita Heller | Psychiatry & Neurology | 1510 W Whittier Blvd # 54, La Habra, CA 90631-3617 | 2019-12-09 |
| 1669965885 | California Centers for Psychiatric Wellness and Health | Psychiatry & Neurology | 1307 W 6th St Ste 105, Corona, CA 92882-1644 | 2018-06-12 |
| 1396004594 | Hirsh Kaveeshvar | Psychiatry & Neurology | 23861 Mcbean Pkwy Ste B18, Valencia, CA 91355 | 2012-05-08 |
| 1548450448 | Aimee C Chagnon | Psychiatry & Neurology | 357 Perkins St, Suite 206, Sonoma, CA 95476-6826 | 2007-07-26 |
| 1902005713 | James David Weiss | Psychiatry & Neurology | 624 Frederick Street, Santa Cruz, CA 95062 | 2007-07-12 |
| 1467672485 | Fadi Alhatem | Psychiatry & Neurology | 250 N Robertson Blvd Ste 505, Beverly Hills, CA 90211 | 2007-05-01 |
| 1366510489 | Michael Harvey Moskowitz | Psychiatry & Neurology | 3 Harbor Dr, Suite 115, Sausalito, CA 94965-1454 | 2006-11-30 |
| 1497768170 | Thomas Benedict Bryan | Psychiatry & Neurology | 3351 M Street, Ste 120, Merced, CA 95348 | 2006-08-14 |
| 1235118068 | California Headache and Pain Specialist, Inc. | Psychiatry & Neurology | 420 W. Las Tunas Dr., San Gabriel, CA 91776 | 2006-01-11 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. JENNIFER AULT.
| 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.