Grace R Jasin, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1275 Issued in AZ

Practice address

6082 N Placita Pajaro
Tucson, AZ 85718-3467

Phone

(520) 742-4196

NPI assigned

Nov 1, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Clinical Psychologist

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• J&P Loiselle LLC

  • Addiction (Substance Use Disorder) Counselor
  • Tucson, AZ
  • NPI 1073655544
  NPD (past)
• Jennifer Jacobson MSN Pmhnp-BC PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Tucson, AZ
  • NPI 1861621831
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1497832695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6082 N PLACITA PAJARO",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857183467",
            "telephone_number": "520-742-4196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6082 N PLACITA PAJARO",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857183467",
            "telephone_number": "520-742-4196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASIN",
        "first_name": "GRACE",
        "middle_name": "R",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AZ",
            "license": "1275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "320474",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AZ0138740",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Benjamin Jay Jarrett II, MD, MPH
• Jenna Kaplan Jarrold, MS, LPC
• Aous Jarrouj, MD
• Jacob Preston Jarvis
• Ronald Jasensky, RPH PHD
• Jason D Moyle, PLLC
• Antonia Jaster, COTA
• Laura Elizabeth Jastrzab
• Mansoor Jatoi, DO
• Izza Jauregui

• Psychologist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.