Jeff Donovan Conklin, is a medicare enrolled "Counselor - Mental Health" provider in Grass Valley, California. He graduated from medical school in 2008 and has 16 years of diverse experience with area of expertise as Clinical Psychologist. His current practice location is
565 Brunswick Rd, Ste 10, Grass Valley, California. You can reach out to his office (for appointments etc.) via phone at
(530) 575-9056.
Jeff Donovan Conklin is licensed to practice in California (license number PSY 24549) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1215102991.
Healthcare Provider's Profile
Full Name | Jeff Donovan Conklin |
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Gender | Male |
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Speciality | Clinical Psychologist |
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Experience | 16 Years |
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Location | 565 Brunswick Rd, Grass Valley, California |
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Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Jeff Donovan Conklin graduated from medical school in 2008
NPI Data:
- NPI Number: 1215102991
- Provider Enumeration Date: 04/24/2008
- Last Update Date: 08/12/2021
Medicare PECOS Information:
- PECOS PAC ID: 3476718768
- Enrollment ID: I20120712000348
Medical Identifiers
Medical identifiers for Jeff Donovan Conklin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215102991 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC1900X | Psychologist - Counseling | PSY24549 (California) | Secondary |
101YM0800X | Counselor - Mental Health | PSY 24549 (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. Jeff Donovan Conklin is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jeff Donovan Conklin, 11099 Success Cross Rd, Nevada City, CA 95959-3470 Ph: (530) 575-9056 | Jeff Donovan Conklin, 565 Brunswick Rd, Ste 10, Grass Valley, CA 95945-9529 Ph: (530) 575-9056 |
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