Individual provider Active NPI

Christine E. Jaynes-Bell, PH.D.

  • Psychologist
  • Redondo Beach, CA
National Provider Identifier
1164622700
Registry record updated Jul 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY 16671 Issued in CA
Practice address
231 Vista del Mar
Ste. C
Redondo Beach, CA 90277-5733
Phone
(310) 316-2116
Fax
(310) 316-7760
NPI assigned
Jul 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY 16671 CA Primary

Addresses

Primary practice location

231 Vista del Mar
Ste. C
Redondo Beach, CA 90277-5733

Mailing address

231 Vista del Mar
Ste. C
Redondo Beach, CA 90277-5733
Phone (310) 316-2116

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY 16671CAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185148800000",
    "number": "1164622700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 VISTA DEL MAR",
            "address_2": "STE. C",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775733",
            "telephone_number": "310-316-2116",
            "fax_number": "310-316-7760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 VISTA DEL MAR",
            "address_2": "STE. C",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775733",
            "telephone_number": "310-316-2116",
            "fax_number": "310-316-7760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAYNES-BELL",
        "first_name": "CHRISTINE",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-23",
        "last_updated": "2007-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY 16671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redondo Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.