Active NPI
Fee Sean Jane Chin, M.D.
- Psychiatry Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A96645
- Practice address
- 10815 Rancho Bernardo Rd Ste 380
San Diego, CA 92127-5724 - Phone
- (858) 279-1223
- NPI assigned
- Jun 1, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 44934 | MN | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | A96645 | CA | |
| Psychiatry Physician | 2084P0800X | A96645 | CA | Primary |
Addresses
Primary practice location
10815 Rancho Bernardo Rd Ste 380
San Diego, CA 92127-5724
Mailing address
10815 Rancho Bernardo Rd Ste 380
San Diego, CA 92127-5724
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033115 | Other | FM | PREFERREDONE |
| 938196100 | Medicaid | MN | |
| 15-23797 | Other | FM | UNITED BEHAVIORAL HEALTH |
| HP37452 | Other | MN | HEALTHPARTNERS |
| 166M1CH | Other | MN | BLUE SHIELD OF MN |
| 169890 | Other | MN | UCARE MINNESOTA |
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: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10815 Rancho Bernardo Rd
Suite 380
San Diego, CA 92127-5724
Phone (858) 279-1223
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 96645 | CA | MD | Marriage & Family Therapist |
| A96645 | CA | MD | Child & Adolescent Psychiatry Physician |
| 44934 | MN | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Coast Psychiatric Associates Inc | Psychiatry | Current | Accepting new patients |
| Psy Care Inc | Past | Accepting new patients | |
| Psychology Specialists LTD | Past | Accepting new patients |
Locations
8881 Fletcher Pkwy
Ste 350
La Mesa, CA 91942
Phone (619) 465-9792
15611 Pomerado Rd
Ste 535
Poway, CA 92064
Phone (858) 272-6100
10815 Rancho Bernardo Rd
Ste 380
San Diego, CA 92127
4550 Kearny Villa Rd
Ste 116
San Diego, CA 92123
Phone (619) 279-1223
6386 Alvarado Ct
Ste 210
San Diego, CA 92120
Phone (619) 286-6687
4540 Kearny Villa Rd
Ste 103
San Diego, CA 92123
Phone (858) 259-1223
300 Rancheros Dr
Ste 130
San Marcos, CA 92069
Interoperability endpoints
- psycareassociates.feeseanjanechin@143255.advancedmd-direct.com
Organizations & group practices 3
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.
-
- Clinical Psychologist
- Scottsdale, AZ
- NPI 1023125465
CA, Psychiatry
-
- Mental Health Counselor
- San Diego, CA
- NPI 1891707956
-
- Clinical Psychologist
- Las Vegas, NV
- NPI 1003473448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724976000000",
"number": "1679510465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10815 RANCHO BERNARDO RD STE 380",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921275724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10815 RANCHO BERNARDO RD STE 380",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921275724",
"telephone_number": "858-279-1223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIN",
"first_name": "FEE SEAN JANE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-01",
"last_updated": "2024-08-30",
"certification_date": "2024-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "MN",
"license": "44934",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "CA",
"license": "A96645",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A96645",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERREDONE",
"identifier": "1033115",
"state": "FM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "938196100",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVIORAL HEALTH",
"identifier": "15-23797",
"state": "FM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS",
"identifier": "HP37452",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF MN",
"identifier": "166M1CH",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE MINNESOTA",
"identifier": "169890",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.