Dr Jenna Khoury Mogannam, PHD - Psychologist in San Mateo, CA

Dr Jenna Khoury Mogannam, PHD is a Psychologist - Clinical based in San Mateo, California. Dr Jenna Khoury Mogannam is licensed to practice in California (license number 33668) and her current practice location is 116 E 25th Ave Ste C, San Mateo, California. She can be reached at her office (for appointments etc.) via phone at (415) 238-8513.

NPI number for Dr Jenna Khoury Mogannam is 1215644463 and her current mailing address is 116 E 25th Ave Ste C, San Mateo, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1215644463.

Contact Information

Dr Jenna Khoury Mogannam, PHD
116 E 25th Ave Ste C,
San Mateo, CA 94403-2596
(415) 238-8513
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Jenna Khoury Mogannam
GenderFemale
SpecialityPsychologist - Clinical
Location116 E 25th Ave Ste C, San Mateo, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1215644463
  • Provider Enumeration Date: 10/27/2022
  • Last Update Date: 10/27/2022

Medical Identifiers

Medical identifiers for Dr Jenna Khoury Mogannam such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215644463NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 33668 (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 Jenna Khoury Mogannam 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 AddressPractice Location Address
Dr Jenna Khoury Mogannam, PHD
116 E 25th Ave Ste C,
San Mateo, CA 94403-2596

Ph: () -
Dr Jenna Khoury Mogannam, PHD
116 E 25th Ave Ste C,
San Mateo, CA 94403-2596

Ph: (415) 238-8513

Reviews and Comments


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