Jonathan Tennison, EDS, NCSP, LEP - Psychologist in Oakland, CA

Jonathan Tennison, EDS, NCSP, LEP is a Psychologist - School based in Oakland, California. Jonathan Tennison is licensed to practice in California (license number 4358) and his current practice location is 4192 Piedmont Ave, Oakland, California. He can be reached at his office (for appointments etc.) via phone at (512) 565-0187.

NPI number for Jonathan Tennison is 1063288561 and his current mailing address is Po Box 20703, Oakland, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1063288561.

Contact Information

Jonathan Tennison, EDS, NCSP, LEP
4192 Piedmont Ave,
Oakland, CA 94611-5133
(512) 565-0187
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameJonathan Tennison
GenderMale
SpecialityPsychologist - School
Location4192 Piedmont Ave, Oakland, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1063288561
  • Provider Enumeration Date: 11/27/2023
  • Last Update Date: 11/27/2023

Medical Identifiers

Medical identifiers for Jonathan Tennison such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063288561NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TS0200XPsychologist - School 4358 (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. Jonathan Tennison 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
Jonathan Tennison, EDS, NCSP, LEP
Po Box 20703,
Oakland, CA 94620-0703

Ph: () -
Jonathan Tennison, EDS, NCSP, LEP
4192 Piedmont Ave,
Oakland, CA 94611-5133

Ph: (512) 565-0187

Reviews and Comments


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