Jason Daniel Arkin

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY 26849 Issued in CA

Practice address

107 S Fair Oaks Ave Ste 325
Pasadena, CA 91105-2085

Phone

(510) 414-7366

NPI assigned

May 17, 2011

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

98.29 of 100Reported as group

Quality

90

Improvement activities

40

Cost

74.31

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Coastal Psychological Services, Inc.

  • Clinical Psychologist
  • Newport Beach, CA
  • NPI 1588161384
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1305590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1013200583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 QUAIL ST",
            "address_2": "STE 185",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602766",
            "telephone_number": "415-641-8000",
            "fax_number": "415-641-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 S FAIR OAKS AVE STE 325",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052085",
            "telephone_number": "510-414-7366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "833 Market St Ste 809",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941031828",
            "country_code": "US",
            "telephone_number": "415-627-9095",
            "fax_number": "415-627-9108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARKIN",
        "first_name": "JASON",
        "middle_name": "DANIEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-17",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 26849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Arias
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• Arkady S. Tsibel Dental Corp
• Arlene Yang Physical Therapy PC
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• Sevil Arli, PSY.D.
• Arma Home Care Inc
• Arman Tchoukadarian D.C. Professional Chiropractic Corporation

• Clinical Psychologist in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.