JENNIFER LYNN DERENNE MD
NPI 1285684738
Psychiatry & Neurology - Child & Adolescent Psychiatry in Palo Alto, CA

Q: What is Jennifer Derenne's NPI number?

The NPI number for Jennifer Derenne is 1285684738. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Q: What is Jennifer Derenne's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Derenne was last updated on April 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.

Active since May 12, 2006PECOS Enrolled

725 WELCH RD, PALO ALTO, CA 94304(650) 497-8000 Get Directions Write a Review

NPPES record last updated: April 29, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jennifer Lynn Derenne Md NPPES

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

JENNIFER LYNN DERENNE MD (NPI 1285684738) is an individual child & adolescent psychiatry provider in Palo Alto, California, licensed in California (C54949) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Stanford.

NPPES Registry Identity

NPI1285684738

Entity TypeIndividualFemale

Primary Taxonomy2084P0804X

Provider Legal NameJENNIFER LYNN DERENNECredential: MD

Location Address725 WELCH RDPalo Alto, CA 94304-1601

Mailing Address725 Welch RdPalo Alto, CA 94304-1601 · (650) 497-8000

Phone(650) 497-8000

Sole ProprietorNo

Enumeration DateMay 12, 2006

Last NPPES UpdateApril 29, 2024

NPPES CertifiedApril 29, 2024

✔ NPI 1285684738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

License✔ Licensed in CA · C54949

Definition

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.

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 217157 (MA), 50584 (WI)

725 WELCH RD, Palo Alto, CA 94304

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Secondary Practice Location 1

Location 1401 Quarry RoadStanford, CA 94305-4837 · Phone (650) 723-5511 · Fax (414) 456-6259

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, BridgeSpan Health Company, Medica and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Lynn Derenne Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

EIRI INENAGA MS, OTR/L

Occupational Therapist (Pediatrics)