Raymond John Coffin, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY15496 Issued in CA

Practice address

106 E Badillo St
Covina, CA 91723-2113

Phone

(626) 915-7581

Fax

(626) 915-7588

NPI assigned

Dec 30, 2005

Sex

Male

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Perry Maloff, M.D., a Medical Corp

  • Prescribing (Medical) Psychologist
  • Covina, CA
  • NPI 1205021045
  NPD (past)

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1720065626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3094 BUCKHAVEN RD",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917094362",
            "telephone_number": "951-741-2249",
            "fax_number": "909-548-7405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 E BADILLO ST",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917232113",
            "telephone_number": "626-915-7581",
            "fax_number": "626-915-7588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFFIN",
        "first_name": "RAYMOND",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-30",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY15496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGIST LICENSE",
            "identifier": "PSY15496",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Louise Marie Clinton
• CNC Pharmacy Inc
• Dillon Joseph Cobb
• Jenny Lynn Cobb, RN
• Amy L Coe
• Cohen, Chen, Hanna Chiropractic and Acupuncture, Inc
• Jeffrey L Cohen, D.D.S.
• Paul Eric Cohen, MFT
• Richard Martin Cohrs, DDS
• Temple Colburt

• Clinical Psychologist in Covina, CA
• Providers in Covina, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; 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.