JENNIFER DOUGLAS PHD
NPI 1386167500
Psychologist in Palo Alto, CA

Active since July 19, 2017Opted out of Medicare · through Jan 1, 2028
401 QUARRY RD, PALO ALTO, CA 94304(650) 723-6308 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Jul 19, 2017 (2 updates tracked since 2017).

About Jennifer Douglas Phd NPPES

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

JENNIFER DOUGLAS PHD (NPI 1386167500) is an individual psychologist in Palo Alto, California, licensed in California (29318) and active in the NPI registry since July 2017. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1386167500
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameJENNIFER DOUGLASCredential: PHD
Location Address401 QUARRY RDPalo Alto, CA 94304-1419
Mailing Address401 Quarry RdPalo Alto, CA 94304-1419 · (650) 723-6308
Sole ProprietorNo
Enumeration DateJuly 19, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1386167500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · 29318
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 ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 29318 (CA)
401 QUARRY RD, Palo Alto, CA 94304

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Jennifer Douglas Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2026 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2026
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

Psychiatry & Neurology (Psychiatry)
401 QUARRY RD
PALO ALTO, CA 94304
Psychologist (Clinical)
401 QUARRY RD, CHILD AND ADOLESCENT PSYCHIATRY
PALO ALTO, CA 94304
Student in an Organized Health Care Education/Training Program
401 QUARRY RD
PALO ALTO, CA 94304
Psychiatry & Neurology (Psychiatry)
401 QUARRY RD
PALO ALTO, CA 94304
Psychologist (Clinical)
401 QUARRY RD
PALO ALTO, CA 94304
Psychiatry & Neurology (Geriatric Psychiatry)
401 QUARRY RD
PALO ALTO, CA 94304
Psychiatry & Neurology (Psychiatry)
401 QUARRY RD
PALO ALTO, CA 94304
Psychiatry & Neurology (Psychiatry)
401 QUARRY RD
PALO ALTO, CA 94304

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 Jennifer Douglas's NPI number?

The NPI number for Jennifer Douglas is 1386167500. It was assigned to this individual provider in the NPPES registry on July 19, 2017.

Where is Jennifer Douglas located?

Jennifer Douglas practices at 401 Quarry Rd, Palo Alto, CA 94304. The listed phone number is (650) 723-6308.

What is Jennifer Douglas's specialty?

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

Is Jennifer Douglas enrolled in Medicare?

No. Jennifer Douglas has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jennifer Douglas was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.