Jennifer Staveley, PSYD
NPI 1205997095 · Clinical Psychologist · Fremont, CA
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jennifer Staveley, PSYD is a Clinical Psychologist provider in Fremont, CA (NPI 1205997095).
Provider details
- NPI number
- 1205997095
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PSYD
- Sex
- Female
- Sole proprietor
- No
- License
- PSY16178 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-12-13
- Last updated
- 2022-01-03
Frequently asked questions
- What is Jennifer Staveley's NPI number?
- Jennifer Staveley's National Provider Identifier (NPI) is 1205997095, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jennifer Staveley's specialty?
- Jennifer Staveley is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Jennifer Staveley located?
- Jennifer Staveley's practice location on file with NPPES is 39400 Paseo Padre Pkwy, Fremont, CA 94538-2310.
- What is Jennifer Staveley's phone number?
- The practice phone number listed in the NPPES registry for Jennifer Staveley is (510) 248-3509.
- Does Jennifer Staveley accept Medicare?
- Jennifer Staveley is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jennifer Staveley's NPI active?
- Yes — Jennifer Staveley's NPI (1205997095) is active in the NPPES registry as of the last update on 2022-01-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.