Active NPI
Dennis Jay Robinson, ED.D.
- Psychologist
- Barstow, CA
National Provider Identifier
1770517252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY11012
- Practice address
- 400 South Second Ave.
105
Barstow, CA 92311-2805 - Phone
- (760) 256-5667
- Fax
- (909) 624-1850
- NPI assigned
- Jul 10, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | PSY11012 | CA | |
| Psychologist | 103T00000X | PSY11012 | CA | Primary |
Addresses
Primary practice location
400 South Second Ave.
105
Barstow, CA 92311-2805
Mailing address
4872 Cambridge St
Montclair, CA 91763-2237
Phone (909) 624-1850
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041206001054 | CA | Practitioner - Clinical Psychologist | 3971569419 | Practice locations: Chino, CA; Montclair, CA; Diamond Bar, CA; Barstow, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
11800 Central Ave
Suite 125
Chino, CA 91710-7202
Phone (909) 624-1850
400 S 2ND Ave
Suite 105
Barstow, CA 92311-2805
Phone (760) 256-5667
4872 Cambridge St
Montclair, CA 91763-2237
Phone (909) 624-1850
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY11012 | CA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Day Recovery Center, Inc. | Past | Accepting new patients | |
| New Day Institute | Past | Accepting new patients | |
| New Day Institute | Past | Accepting new patients |
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.
-
- Marriage & Family Therapist
- Riverside, CA
- NPI 1043691025
-
- Marriage & Family Therapist
- Chino, CA
- NPI 1598787475
-
- Marriage & Family Therapist
- Chino, CA
- NPI 1376559625
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1770517252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4872 CAMBRIDGE ST",
"city": "MONTCLAIR",
"state": "CA",
"postal_code": "917632237",
"telephone_number": "909-624-1850",
"fax_number": "909-624-1850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 SOUTH SECOND AVE.",
"address_2": "105",
"city": "BARSTOW",
"state": "CA",
"postal_code": "923112805",
"telephone_number": "760-256-5667",
"fax_number": "909-624-1850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "DENNIS",
"middle_name": "JAY",
"name_prefix": "Dr.",
"credential": "ED.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "CA",
"license": "PSY11012",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY11012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Barstow, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.