DR. JENNIFER L DERENNE (NPI# 1285684738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285684738 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER L DERENNE |
| Credential | MD |
| Practice Address |
401 Quarry Road Stanford CA 94305-4837 |
| Practice Telephone | 6507235511 |
| Practice Fax Number | 4144566259 |
| Mailing Telephone | 6507235511 |
| Mailing Fax Number | 4144566259 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2016-12-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
50584 | WI | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
217157 | MA | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
C54949 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
401 QUARRY ROAD |
| City | STANFORD |
| State | CA |
| Zip Code | 94305-4837 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093338386 | Erin Gallagher Armer | Psychologist | 401 Quarry Road, Mc 5719, Stanford, CA 94305-5719 | 2020-05-21 |
| 1417418013 | Catherine Shir | Student in an Organized Health Care Education/Training Program | 401 Quarry Road, Stanford, CA 94304 | 2019-03-27 |
| 1205317880 | Samatha Ludin | Student in an Organized Health Care Education/Training Program | 401 Quarry Road, Mc 5718, Stanford, CA 94305 | 2018-08-22 |
| 1841794278 | Samuel Ricardo Saenz | Student in an Organized Health Care Education/Training Program | 401 Quarry Road, Stanford, CA 94305 | 2018-03-21 |
| 1770086555 | Nicole Zelin | Student in an Organized Health Care Education/Training Program | 401 Quarry Road, Stanford, CA 94305 | 2018-03-17 |
| 1861995649 | Jonathan David Kawulok Updike | Student in an Organized Health Care Education/Training Program | 401 Quarry Road, Stanford, CA 94305 | 2018-03-17 |
| 1376046144 | Charles Fagundes | Student in an Organized Health Care Education/Training Program | 401 Quarry Road, Stanford, CA 94305 | 2018-03-17 |
| 1215430079 | Lisa Ekeanyanwu | Student in an Organized Health Care Education/Training Program | 401 Quarry Road, Stanford, CA 94305 | 2018-03-16 |
| 1699206359 | Jason Tucciarone | Student in an Organized Health Care Education/Training Program | 401 Quarry Road, Stanford, CA 94305 | 2017-03-24 |
| 1942731906 | Patricia Pop | Student in an Organized Health Care Education/Training Program | 401 Quarry Road, Stanford, CA 94305 | 2017-03-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760092126 | Meilin Liang | Physician Assistant | 300 Pasteur Rd, Rm H0101, Stanford, CA 94305 | 2020-07-31 |
| 1356962484 | Shuo Cai | Student in an Organized Health Care Education/Training Program | 300 Pasteur Drive Stanford University School of Medici, Lane Building, Stanford, CA 94305 | 2020-04-29 |
| 1760046916 | Jennifer M Piselli | Physician Assistant | 300 Pasteur Drive Rm A345, 3rd Floor, Stanford, CA 94305 | 2019-04-23 |
| 1912482365 | Martin Nikolaus Stienen | Neurological Surgery | Department of Neurosurgery,stanford University Hospital, 300 Pasteur Drive, Edwards Bldg., Rm R209, Stanford, CA 94305 | 2018-10-02 |
| 1043797434 | Natalie Lynn Dykzeul | Genetic Counselor, MS | 300 Pasteur Drive H315, Stanford, CA 94305 | 2018-07-27 |
| 1144727223 | Kingsley Anuoluwapo Oladeji | Student in an Organized Health Care Education/Training Program | Stanford Health Care Dept. of Gme, 300 Pasteur Drive, Palo Alto, CA 94305 | 2018-04-06 |
| 1437675402 | Abhinav Sharma | Internal Medicine | 300 Pasteur Lane, Falk Building, Palo Alto, CA 94305 | 2017-08-21 |
| 1194258491 | Silvia Paola Russo | Student in an Organized Health Care Education/Training Program | 300 Pasteur Dr # H3144, Palo Alto, CA 94305 | 2017-04-04 |
| 1649629155 | Jason Ross | Student in an Organized Health Care Education/Training Program | Stanford University School of Medicine Stanford Cancer, 875 Blake Wilbur Drive, Stanford, CA 94305 | 2016-06-06 |
| 1588010235 | Brian Dang | Pharmacist | 500 Pasteur Drive Room J010, Stanford, CA 94305 | 2016-05-12 |
| Find all providers in zip 94305 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164741690 | Lawrence Kwok-kit Fung | Psychiatry & Neurology | 401 Quarry Road, Stanford, CA 94305-5723 | 2010-05-24 |
| 1366587677 | Carl Bruce Feinstein | Psychiatry & Neurology | 401 Quarry Rd, Stanford, CA 94305-5719 | 2007-02-21 |
| 1750446381 | Kyle Hinman | Psychiatry & Neurology | 401 Quarry Rd, Child and Adolescent Psychiatry, Stanford, CA 94305 | 2006-12-26 |
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| 1225527427 | Better Life Therapy, Inc. | Psychiatry & Neurology | 9520 Escondido Canyon Rd, Santa Clarita, CA 91390-4811 | 2018-05-03 |
| 1821515099 | J. Kirk Hartman, M.d. | Psychiatry & Neurology | 3860 Blackhawk Rd # 120, Danville, CA 94506-4905 | 2017-08-28 |
| 1912432055 | Centered Health LLC | Psychiatry & Neurology | 6422 W 6th St, Los Angeles, CA 90048-4714 | 2017-04-26 |
| 1255871182 | Carol R Harrus | Psychiatry & Neurology | 517 Patricia Ln, Palo Alto, CA 94303-2856 | 2017-02-25 |
| 1437539509 | Ehab Yacoub, Md Inc. | Psychiatry & Neurology | 1225 W 190th St Ste 470, Gardena, CA 90248-4316 | 2015-06-04 |
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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.