Individual provider Active NPI

Sara Chamberlin, PSYD

  • Clinical Psychologist
  • San Jose, CA
National Provider Identifier
1427780477
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
36733 Issued in CA
Practice address
84 W Santa Clara St Ste 700
San Jose, CA 95113-1809
Phone
(858) 208-0380
Fax
(833) 643-0973
NPI assigned
Jun 28, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 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 36733 CA Primary

Addresses

Primary practice location

84 W Santa Clara St Ste 700
San Jose, CA 95113-1809

Mailing address

84 W Santa Clara St Ste 700
San Jose, CA 95113-1809

Other practice location 1

374 N Coast Highway 101
Encinitas, CA 92024-2542
Phone (858) 367-7274

Other practice location 2

1990 N California Blvd Ste 800
Walnut Creek, CA 94596-7261
Phone (858) 208-0380

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
I20260602003195 CA Practitioner - Clinical Psychologist 8729559604 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2041 E St
Suite 1241
Concord, CA 94520-2126

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36733CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Grounded Therapy, a Psychology Corp Clinical CurrentSince May 18, 2026 Accepting new patients

Locations

84 W Santa Clara St
Ste 700
San Jose, CA 95113
Phone (619) 752-4448

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": "1656374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1427780477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 W SANTA CLARA ST STE 700",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951131809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 W SANTA CLARA ST STE 700",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951131809",
            "telephone_number": "858-208-0380",
            "fax_number": "833-643-0973"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "374 N Coast Highway 101",
            "address_purpose": "LOCATION",
            "city": "Encinitas",
            "state": "CA",
            "postal_code": "920242542",
            "country_code": "US",
            "telephone_number": "858-367-7274",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1990 N California Blvd Ste 800",
            "address_purpose": "LOCATION",
            "city": "Walnut Creek",
            "state": "CA",
            "postal_code": "945967261",
            "country_code": "US",
            "telephone_number": "858-208-0380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAMBERLIN",
        "first_name": "SARA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-28",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "36733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.