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

Jeff Donovan Conklin

Individual provider Counseling Psychologist · NPI 1215102991

Jeff Donovan Conklin is a Clinical Psychologist in Grass Valley, California. Qualified in 2008, 18 years ago. Practices as a sole proprietor and offers telehealth. Licensed in California.

Years since qualifying
18
Licensed in
CA
In the registry since
2008
Specialties on file
2

Practice location Address checks out

565 Brunswick Rd Ste 10
Grass Valley, CA 95945-9529
Phone: (530) 575-9056
Fax: (530) 271-5992
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence PSY 24549 (CA)
Counseling Psychologist Taxonomy 103TC1900X · Licence PSY24549 (CA)

Record details

NPI number1215102991
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 24, 2008
Last updated in NPPESAugust 12, 2021
Certification dateAugust 12, 2021
Mailing address11099 Success Cross Rd, Nevada City, CA 95959-3470

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

Other providers in Grass Valley