Active NPI
Jasmynne-Shaye Robbins
- Clinical Psychologist
- Los Angeles, CA
National Provider Identifier
1316463748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 35089
- Practice address
- 5630 Venice Blvd Ste 751
Los Angeles, CA 90019-5127 - Phone
- (323) 317-7272
- Fax
- (877) 940-3126
- NPI assigned
- Aug 17, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nutritionist | 133N00000X | CA | ||
| Clinical Psychologist | 103TC0700X | 35089 | CA | Primary |
Addresses
Primary practice location
5630 Venice Blvd Ste 751
Los Angeles, CA 90019-5127
Mailing address
5630 Venice Blvd Ste 751
Los Angeles, CA 90019-5127
Phone (323) 317-7272
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 26, 2024 through Jul 26, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35089 | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717718400000",
"number": "1316463748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5630 VENICE BLVD STE 751",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900195127",
"telephone_number": "323-317-7272",
"fax_number": "877-940-3126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5630 VENICE BLVD STE 751",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900195127",
"telephone_number": "323-317-7272",
"fax_number": "877-940-3126"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBBINS",
"first_name": "JASMYNNE-SHAYE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-17",
"last_updated": "2024-06-07",
"certification_date": "2023-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "35089",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.