Individual provider Active NPI

Jacob Lee Insler, PSY.D., M.A.

  • Psychologist
  • Hermosa Beach, CA
National Provider Identifier
1487983193
Registry record updated Jun 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
31880 Issued in CA
Practice address
1601 Pacific Coast Hwy Ste 290
Hermosa Beach, CA 90254-3283
Phone
(424) 262-5830
NPI assigned
Dec 9, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 31880 CA Primary

Addresses

Primary practice location

1601 Pacific Coast Hwy Ste 290
Hermosa Beach, CA 90254-3283

Mailing address

1601 Pacific Coast Hwy Ste 290
Hermosa Beach, CA 90254-3283
Phone (424) 262-5830

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)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
31880CAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1260316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593388800000",
    "number": "1487983193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 PACIFIC COAST HWY STE 290",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902543283",
            "telephone_number": "424-262-5830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 PACIFIC COAST HWY STE 290",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902543283",
            "telephone_number": "424-262-5830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INSLER",
        "first_name": "JACOB",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "PSY.D., M.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-09",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "31880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermosa Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; 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.