Individual provider Active NPI

Dennis Jay Robinson, ED.D.

  • Psychologist
  • Barstow, CA
National Provider Identifier
1770517252
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY11012 Issued in CA
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

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
PSY11012CAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
New Day Recovery Center, Inc. PastSince Jul 28, 2019 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.

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

Verify at the official NPI Registry.