Active NPI
Jamie Serrano, PH.D.
- Clinical Psychologist
- Redding, CA
National Provider Identifier
1043571565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 079787
- Practice address
- 6428 Beretta LN
Redding, CA 96001-5080 - Phone
- (530) 227-2340
- NPI assigned
- May 31, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY33941 | CA | |
| Clinical Psychologist | 103TC0700X | 079787 | IA | Primary |
Addresses
Primary practice location
6428 Beretta LN
Redding, CA 96001-5080
Mailing address
6428 Beretta LN
Redding, CA 96001-5080
Phone (530) 227-2340
Other names 1
- Jamie Haynes
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY33941 | CA | MD | Clinical Psychologist |
| 079787 | IA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742428800000",
"number": "1043571565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6428 BERETTA LN",
"city": "REDDING",
"state": "CA",
"postal_code": "960015080",
"telephone_number": "530-227-2340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6428 BERETTA LN",
"city": "REDDING",
"state": "CA",
"postal_code": "960015080",
"telephone_number": "530-227-2340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERRANO",
"first_name": "JAMIE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-31",
"last_updated": "2025-03-20",
"certification_date": "2025-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY33941",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IA",
"license": "079787",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JAMIE",
"last_name": "HAYNES",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Redding, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.