Provider Demographics
NPI:1336302298
Name:RINSKY, JENNA REBECCA (PHD)
Entity Type:Individual
Prefix:DR
First Name:JENNA
Middle Name:REBECCA
Last Name:RINSKY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:MS
Other - First Name:JENNA
Other - Middle Name:REBECCA
Other - Last Name:GELFAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:550 HAMILTON AVE
Mailing Address - Street 2:SUITE 329
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94301-2010
Mailing Address - Country:US
Mailing Address - Phone:650-464-7989
Mailing Address - Fax:
Practice Address - Street 1:550 HAMILTON AVE
Practice Address - Street 2:SUITE 329
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94301-2010
Practice Address - Country:US
Practice Address - Phone:650-464-7989
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-09
Last Update Date:2015-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY26582103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical