Jonathan Michael Kendall, is a
Psychologist - School based in Santa Rosa, California. Jonathan Michael Kendall is licensed to practice in * (Not Available) (license number ) and his current practice location is
2311 Horseshoe Dr, Santa Rosa, California. He can be reached at his office (for appointments etc.) via phone at
(707) 526-4433.
NPI number for Jonathan Michael Kendall is 1619853066 and his current mailing address is 2250 Mesquite Dr, Santa Rosa, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1619853066.
Healthcare Provider's Profile
| Full Name | Jonathan Michael Kendall |
|---|
| Gender | Male |
|---|
| Speciality | Psychologist - School |
|---|
| Location | 2311 Horseshoe Dr, Santa Rosa, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1619853066
- Provider Enumeration Date: 08/12/2025
- Last Update Date: 08/12/2025
Medical Identifiers
Medical identifiers for Jonathan Michael Kendall such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619853066 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YS0200X | Counselor - School | (* (Not Available)) | Secondary |
| 103TS0200X | Psychologist - School | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jonathan Michael Kendall is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jonathan Michael Kendall,
2250 Mesquite Dr,
Santa Rosa, CA 95405-8310
Ph: (707) 542-2201 | Jonathan Michael Kendall,
2311 Horseshoe Dr,
Santa Rosa, CA 95405-8139
Ph: (707) 526-4433 |
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