JAE DOUGLAS TRUESDELL MA, MPH, CMPSS
NPI 1174337703
Peer Specialist in San Leandro, CA

Active since February 04, 2025
15200 FOOTHILL BLVD, SAN LEANDRO, CA 94578(510) 352-9690 Get Directions Write a Review

NPPES record last updated: February 4, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jae Douglas Truesdell Ma, Mph, Cmpss NPPES

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

JAE DOUGLAS TRUESDELL MA, MPH, CMPSS (NPI 1174337703) is an individual peer specialist in San Leandro, California, licensed in California (MPSS-YQHUXN) and active in the NPI registry since February 2025.

NPPES Registry Identity

NPI1174337703
Entity TypeIndividual
Primary Taxonomy175T00000X
Provider Legal NameJAE DOUGLAS TRUESDELLCredential: MA, MPH, CMPSS
Location Address15200 FOOTHILL BLVDSan Leandro, CA 94578-1013
Mailing Address15200 Foothill BlvdSan Leandro, CA 94578-1013 · (510) 352-9690
Sole ProprietorNo
Enumeration DateFebruary 4, 2025
NPPES CertifiedFebruary 4, 2025
NPI 1174337703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License Licensed in CA · MPSS-YQHUXN
Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

15200 FOOTHILL BLVD, San Leandro, CA 94578

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.

Licensed Vocational Nurse
15200 FOOTHILL BLVD
SAN LEANDRO, CA 94578
Community Based Residential Treatment Facility, Mental Illness
15200 FOOTHILL BLVD
SAN LEANDRO, CA 94578
Social Worker (Clinical)
15200 FOOTHILL BLVD
SAN LEANDRO, CA 94578
Student in an Organized Health Care Education/Training Program
15200 FOOTHILL BLVD
CASTRO VALLEY, CA 94578
Community/Behavioral Health
15200 FOOTHILL BLVD
SAN LEANDRO, CA 94578
Licensed Vocational Nurse
15200 FOOTHILL BLVD
SAN LEANDRO, CA 94578
Licensed Vocational Nurse
15200 FOOTHILL BLVD
SAN LEANDRO, CA 94578
Licensed Vocational Nurse
15200 FOOTHILL BLVD
CASTRO VALLEY, CA 94578

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 Jae Truesdell's NPI number?

The NPI number for Jae Truesdell is 1174337703. It was assigned to this individual provider in the NPPES registry on February 4, 2025.

Where is Jae Truesdell located?

Jae Truesdell practices at 15200 Foothill Blvd, San Leandro, CA 94578. The listed phone number is (510) 352-9690.

What is Jae Truesdell's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Jae Truesdell was last updated on February 4, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.