Active NPI
Jason Todd Olin, PHD
- Clinical Psychologist
- Newport Beach, CA
National Provider Identifier
1548853633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY13932
- Practice address
- 1001 Dove St Ste 280
Newport Beach, CA 92660-2815 - Phone
- (949) 648-7788
- NPI assigned
- Feb 19, 2021
- Last updated
- Jun 18, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 | PSY13932 | CA | Primary |
Addresses
Primary practice location
1001 Dove St Ste 280
Newport Beach, CA 92660-2815
Mailing address
1001 Dove St Ste 280
Newport Beach, CA 92660-2815
Phone (949) 648-7788
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 1, 2025 through Oct 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY13932 | CA | MD | Clinical Psychologist |
| 13932 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781740800000",
"number": "1548853633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 DOVE ST STE 280",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926602815",
"telephone_number": "949-648-7788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 DOVE ST STE 280",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926602815",
"telephone_number": "949-648-7788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIN",
"first_name": "JASON",
"middle_name": "TODD",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-02-19",
"last_updated": "2026-06-18",
"certification_date": "2026-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY13932",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newport Beach, CA
- Nalanie Helene Okuma
- Haris Oladejo
- Old Newport Optometric Associates
- Julie Hart Oldroyd, M.D.
- Antonio de Jesus Olea Alberto
- Olivia Carr Family Therapy Professional Corporation (Therapy With Olivia)
- Olivieri Chiropractic Inc.
- Tara Olivieri, D.C.
- Marguerite C Olson, L.M.F.T.
- Mark Francis Olson, D.D.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; 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.