Active NPI
Shani Robins, PH.D.
- Clinical Psychologist
- San Jose, CA
National Provider Identifier
1336284058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY18795
- Practice address
- 2570 N 1St St
San Jose, CA 95131 - Phone
- (650) 490-0069
- NPI assigned
- Feb 20, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY18795 | CA | Primary |
Addresses
Primary practice location
2570 N 1St St
San Jose, CA 95131
Mailing address
PO Box 20230
Stanford, CA 94309-0230
Phone (650) 490-0069
Other practice location 1
530 Lytton Ave
Palo Alto, CA 94301-1556
Phone (650) 490-0069
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychiatric Centers at San Diego, Inc. Med GRP | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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.
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- San Diego, CA
- NPI 1841241585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532995200000",
"number": "1336284058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 20230",
"city": "STANFORD",
"state": "CA",
"postal_code": "943090230",
"telephone_number": "650-490-0069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2570 N 1ST ST",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "95131",
"telephone_number": "650-490-0069"
}
],
"practiceLocations": [
{
"address_1": "530 Lytton Ave",
"address_purpose": "LOCATION",
"city": "Palo Alto",
"state": "CA",
"postal_code": "943011556",
"country_code": "US",
"telephone_number": "650-490-0069",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROBINS",
"first_name": "SHANI",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-20",
"last_updated": "2018-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY18795",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.