Healthcare Provider Details

I. General information

NPI: 1093246225
Provider Name (Legal Business Name): JARED ALDEN M.S. PSYCHOLOGY
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/21/2017
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10038 MEADOW WAY UNIT D
TRUCKEE CA
96161-4974
US

IV. Provider business mailing address

13549 SKIVIEW LOOP
TRUCKEE CA
96161-6741
US

V. Phone/Fax

Practice location:
  • Phone: 530-414-3118
  • Fax:
Mailing address:
  • Phone: 530-414-3118
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: