Individual provider Active NPI

Andrea Jablonski, PSY.D.

  • Clinical Psychologist
  • Manhattan Beach, CA
National Provider Identifier
1275909731
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY30053 Issued in CA
Practice address
2711 N Sepulveda Blvd # 752
Manhattan Beach, CA 90266-2725
Phone
(424) 999-5646
NPI assigned
Aug 18, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY30053 CA Primary

Addresses

Primary practice location

2711 N Sepulveda Blvd # 752
Manhattan Beach, CA 90266-2725

Mailing address

2812 W 145TH St
Gardena, CA 90249-3118
Phone (424) 999-5646

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190508000855 CA Practitioner - Clinical Psychologist 1052653268 Reassigns benefits to 1 organization
Practice locations: Manhattan Beach, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Gardena, CA 90249
Phone (424) 999-5646

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY30053CAMDClinical Psychologist
30053CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Andrea Jablonski PSYD a Professional Psychology Corporation Clinical CurrentSince Oct 30, 2023 Accepting new patients

Locations

2711 N Sepulveda Blvd
#752
Manhattan Beach, CA 90266
Phone (424) 999-5646

2601 Airport Dr
Ste 135
Torrance, CA 90505
Phone (424) 201-1600

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1439856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1275909731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2812 W 145TH ST",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902493118",
            "telephone_number": "424-999-5646",
            "fax_number": "310-432-2409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 N SEPULVEDA BLVD # 752",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902662725",
            "telephone_number": "424-999-5646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JABLONSKI",
        "first_name": "ANDREA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-18",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY30053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan Beach, CA

Sources for this page

Verify at the official NPI Registry.