Provider Demographics
NPI:1578104378
Name:RIJSKETIC, JADE (PHD)
Entity Type:Individual
Prefix:
First Name:JADE
Middle Name:
Last Name:RIJSKETIC
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:JADE
Other - Middle Name:
Other - Last Name:FRANCETICH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3215 HOOVER ST.
Mailing Address - Street 2:BACK UNIT B
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94063
Mailing Address - Country:US
Mailing Address - Phone:208-596-0753
Mailing Address - Fax:
Practice Address - Street 1:450 BROADWAY ST.
Practice Address - Street 2:PAVILION B 2ND FLOOR
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94063
Practice Address - Country:US
Practice Address - Phone:650-723-6601
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-02
Last Update Date:2021-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TH0004XBehavioral Health & Social Service ProvidersPsychologistHealth