DR. JEREMY DALE JINKERSON PHD
NPI 1760629315
Clinical Neuropsychologist in Travis Afb, CA

Active since January 18, 2009PECOS Enrolled
101 BODIN CIR, TRAVIS AFB, CA 94535(210) 916-7641 Get Directions Write a Review

NPPES record last updated: July 21, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2023, Jul 9, 2021, Apr 7, 2021 and 1 more (4 updates tracked since 2018).

About Dr. Jeremy Dale Jinkerson Phd NPPES

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

DR. JEREMY DALE JINKERSON PHD (NPI 1760629315) is an individual clinical neuropsychologist in Travis Afb, California, licensed in Virginia (0810005876) and active in the NPI registry since January 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760629315
Entity TypeIndividualMale
Primary Taxonomy103G00000X
Provider Legal NameDR. JEREMY DALE JINKERSONCredential: PHD
Location Address101 BODIN CIRTravis Afb, CA 94535-1809
Mailing Address101 Bodin CirTravis Afb, CA 94535-1809
Sole ProprietorNo
Enumeration DateJanuary 18, 2009
Last NPPES UpdateJuly 21, 20234 updates tracked since enumeration
NPPES CertifiedJuly 21, 2023
NPI 1760629315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License Licensed in VA · 0810005876
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 0810005876 (VA)
101 BODIN CIR, Travis Afb, CA 94535

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Jeremy Dale Jinkerson Phd 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.

Military Health Care Provider (Independent Duty Medical Technicians)
101 BODIN CIR
TRAVIS AFB, CA 94535
Physical Therapist
101 BODIN CIR
TRAVIS AFB, CA 94535
Thoracic Surgery (Cardiothoracic Vascular Surgery)
101 BODIN CIR
TRAVIS AFB, CA 94535
Surgery (Vascular Surgery)
101 BODIN CIR
FAIRFIELD, CA 94535
Pharmacist
101 BODIN CIR
TRAVIS AFB, CA 94535
Dentist (General Practice)
101 BODIN CIR
TRAVIS AFB, CA 94535
Student in an Organized Health Care Education/Training Program
101 BODIN CIR
FAIRFIELD, CA 94535
Pathology (Anatomic Pathology & Clinical Pathology)
101 BODIN CIR
TRAVIS AFB, CA 94535

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 Jeremy Jinkerson's NPI number?

The NPI number for Jeremy Jinkerson is 1760629315. It was assigned to this individual provider in the NPPES registry on January 18, 2009.

Where is Jeremy Jinkerson located?

Jeremy Jinkerson practices at 101 Bodin Cir, Travis Afb, CA 94535. The listed phone number is (210) 916-7641.

What is Jeremy Jinkerson's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Jeremy Jinkerson enrolled in Medicare?

Yes. Jeremy Jinkerson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jeremy Jinkerson was last updated on July 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.