DR. JARY LARSEN PH.D. NPI 1356654347

NPI Information

  • NPI: 1356654347
  • Provider Name: DR. JARY LARSEN, PH.D.
  • Classification: Clinical Neuropsychologist - 103G00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 150 MUIR RD
    RESEARCH SERVICE (151)
    MARTINEZ, CA
    ZIP 94553
  • Phone: (925) 370-4083

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NPI Details

DR. Jary Larsen, PH.D. is a clinical neuropsychologist in Martinez, CA. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. DR. Jary Larsen, PH.D. NPI is 1356654347. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

150 MUIR RD
RESEARCH SERVICE (151)
MARTINEZ, CA
ZIP 94553-668
Phone: (925) 370-4083
Fax: (925) 228-5738

The NPI 1356654347 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 7/19/2010 and was last updated on 7/19/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103G00000XClinical NeuropsychologistPSY15816CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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