DR. JENNIFER RAE HENRETTY PHD
NPI 1801516653
Psychologist - Clinical in Long Beach, CA

Q: What is Jennifer Henretty's NPI number?

The NPI number for Jennifer Henretty is 1801516653. It was assigned to this individual provider in the NPPES registry on August 31, 2022. The provider is also known as Dr. Jen Henretty Phd.

Q: What is Jennifer Henretty's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Henretty was last updated on August 31, 2022. 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.

Active since August 31, 2022

9225 MARINA PACIFICA DR N, LONG BEACH, CA 90803(562) 714-0504 Get Directions Write a Review

NPPES record last updated: August 31, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Jennifer Rae Henretty Phd NPPES

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

DR. JENNIFER RAE HENRETTY PHD (NPI 1801516653) is an individual clinical provider in Long Beach, California, licensed in California (25651) and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1801516653

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. JENNIFER RAE HENRETTYCredential: PHD

Location Address9225 MARINA PACIFICA DR NLong Beach, CA 90803-3887

Mailing Address9225 Marina Pacifica Dr NLong Beach, CA 90803-3887 · (562) 714-0504

Phone(562) 714-0504

Sole ProprietorYes

Enumeration DateAugust 31, 2022

NPPES CertifiedAugust 31, 2022

✔ NPI 1801516653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Licenses✔ Licensed in CA · 25651✔ Licensed in VA · 0810005845

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

9225 MARINA PACIFICA DR N, Long Beach, CA 90803

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Other Names 1

Other Name (5)Dr. Jen Henretty Phd

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 Henretty's NPI number?

The NPI number for Jennifer Henretty is 1801516653. It was assigned to this individual provider in the NPPES registry on August 31, 2022. The provider is also known as Dr. Jen Henretty Phd.

Where is Jennifer Henretty located?

Jennifer Henretty practices at 9225 Marina Pacifica Dr N, Long Beach, CA 90803. The listed phone number is (562) 714-0504.

What is Jennifer Henretty's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Jennifer Henretty was last updated on August 31, 2022. 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.