Dr Jennifer Dang Malone, PSYD is a
Psychologist based in Gilroy, California. Dr Jennifer Dang Malone is licensed to practice in California (license number PSY21176) and her current practice location is
290 Ioof Ave, Gilroy, California. She can be reached at her office (for appointments etc.) via phone at
(408) 846-2141.
NPI number for Dr Jennifer Dang Malone is 1912043753 and her current mailing address is 5722 San Lorenzo Dr # 300, San Jose, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1912043753.
Healthcare Provider's Profile
| Full Name | Dr Jennifer Dang Malone |
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| Gender | Female |
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| Speciality | Psychologist |
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| Location | 290 Ioof Ave, Gilroy, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1912043753
- Provider Enumeration Date: 01/29/2007
- Last Update Date: 01/26/2022
Medical Identifiers
Medical identifiers for Dr Jennifer Dang Malone such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912043753 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | PSY21176 (California) | Secondary |
| 171M00000X | Case Manager/care Coordinator | PSY21176 (California) | Secondary |
| 103T00000X | Psychologist | PSY21176 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jennifer Dang Malone is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Jennifer Dang Malone, PSYD
5722 San Lorenzo Dr # 300,
San Jose, CA 95123-2967
Ph: (408) 591-0043 | Dr Jennifer Dang Malone, PSYD
290 Ioof Ave,
Gilroy, CA 95020-5204
Ph: (408) 846-2141 |
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