Healthcare Provider Details

I. General information

NPI: 1649338542
Provider Name (Legal Business Name): DR. JENNIFER ROONEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JENNIFER LYNN KNIPE PSY.D.

II. Dates (important events)

Enumeration Date: 12/04/2006
Last Update Date: 12/22/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1348 10TH AVE
SAN FRANCISCO CA
94122-2304
US

IV. Provider business mailing address

1814 FRANKLIN ST STE. 400
OAKLAND CA
94612-3487
US

V. Phone/Fax

Practice location:
  • Phone: 415-564-2310
  • Fax:
Mailing address:
  • Phone: 510-318-6100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103TF0000X
TaxonomyFamily Psychologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code103TP2701X
TaxonomyGroup Psychotherapy Psychologist
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: