JACQUELINE HARPER PSYD
NPI 1043940190
Psychologist in San Jose, CA

Active since June 13, 2022PECOS Enrolled
2400 MOORPARK AVE STE 300, SAN JOSE, CA 95128(408) 975-2730 Get Directions Write a Review

NPPES record last updated: June 2, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 2, 2025, Oct 16, 2023 (2 updates tracked since 2023).

About Jacqueline Harper Psyd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELINE HARPER PSYD (NPI 1043940190) is an individual psychologist in San Jose, California, licensed in California (35907) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1043940190
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameJACQUELINE HARPERCredential: PSYD
Location Address2400 MOORPARK AVE STE 300San Jose, CA 95128-2680
Mailing Address2400 Moorpark Ave Ste 300San Jose, CA 95128-2680 · (408) 975-2730
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 13, 2022
Last NPPES UpdateJune 2, 20252 updates tracked since enumeration
NPPES CertifiedJune 2, 2025
✔ NPI 1043940190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Licenses✔ Licensed in CA · 35907✔ Licensed in CA · 94027956
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
2400 MOORPARK AVE STE 300, San Jose, CA 95128

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline Harper Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5193235851
PECOS Enrollment IDI20250611001502
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jacqueline Harper reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community/Behavioral Health
2400 MOORPARK AVE, SUITE 300
San Jose, CA 95128
  • Reassigned Medicare billing, California enrollment
  • 63 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Marriage & Family Therapist
2400 MOORPARK AVE STE 300
SAN JOSE, CA 95128
Community Health Worker
2400 MOORPARK AVE STE 300
SAN JOSE, CA 95128
Marriage & Family Therapist
2400 MOORPARK AVE STE 300
SAN JOSE, CA 95128
Community Health Worker
2400 MOORPARK AVE STE 300
SAN JOSE, CA 95128
Family Medicine
2400 MOORPARK AVE STE 300
SAN JOSE, CA 95128
Registered Nurse
2400 MOORPARK AVE STE 300
SAN JOSE, CA 95128
Psychologist
2400 MOORPARK AVE STE 300
SAN JOSE, CA 95128
Marriage & Family Therapist
2400 MOORPARK AVE STE 300
SAN JOSE, CA 95128

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Harper's NPI number?

The NPI number for Jacqueline Harper is 1043940190. It was assigned to this individual provider in the NPPES registry on June 13, 2022.

Where is Jacqueline Harper located?

Jacqueline Harper practices at 2400 Moorpark Ave Ste 300, San Jose, CA 95128. The listed phone number is (408) 975-2730.

What is Jacqueline Harper's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Jacqueline Harper enrolled in Medicare?

Yes. Jacqueline Harper is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jacqueline Harper's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Harper reassigns Medicare benefits to Asian Americans For Community Involvement Of Santa Clara County, Inc (San Jose, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacqueline Harper's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jacqueline Harper was last updated on June 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.