Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jennifer A Banta, PHD

Individual provider Psychologist · NPI 1629337944

Dr. Jennifer A Banta, PHD is a Psychologist in San Francisco, California. Licensed in California. Registered with an NPI since 2012.

Licensed in
CA
In the registry since
2012
Specialties on file
2
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

815 Buena Vista Ave W Walden House-Hafc Dual Recovery Program
San Francisco, CA 94117-4108
Phone: (415) 558-4206
Fax: (415) 558-4235
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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 PSY20473 (CA)
Psychologist Taxonomy 103T00000X · Licence PSY20473 (CA)

Record details

NPI number1629337944
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedMay 7, 2012
Last updated in NPPESMay 7, 2012
Mailing address815 Buena Vista Ave W, Walden House-Hafc Dual Recovery Program, San Francisco, CA 94117-4108

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