Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jenna Khoury Mogannam, PHD

Individual provider Clinical Psychologist · NPI 1215644463

Dr. Jenna Khoury Mogannam, PHD is a Clinical Psychologist in San Mateo, California. Licensed in California. Registered with an NPI since 2022.

Licensed in
CA
In the registry since
2022
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

116 E 25th Ave Ste C
San Mateo, CA 94403-2596
Phone: (415) 238-8513
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 33668 (CA)

Record details

NPI number1215644463
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedOctober 27, 2022
Last updated in NPPESOctober 27, 2022
Certification dateOctober 27, 2022

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