Individual provider Active NPI

Robyn Suzanne Lensing Matlon, M.ED, M.A., PSY.D.

  • Clinical Psychologist
  • Berkeley, CA
National Provider Identifier
1780901280
Registry record updated Nov 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY27899 Issued in CA
Practice address
2397 Shattuck Ave
Suite 206
Berkeley, CA 94704-1567
Phone
(510) 295-2198
NPI assigned
Apr 23, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Psychologist 103TC0700X PSY27899 CA Primary
Clinical Child & Adolescent Psychologist 103TC2200X PSY27899 CA

Addresses

Primary practice location

2397 Shattuck Ave
Suite 206
Berkeley, CA 94704-1567

Mailing address

600 5TH Ave
Suite 206
San Rafael, CA 94901-3348
Phone (415) 419-3625

Other names 1

  • Ms. Robyn Suzanne Lensing Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education, Master of Arts

State licenses

LicenseStateTypeSpecialty
PSY27899CAMDClinical Child & Adolescent Psychologist
27899CAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480377600000",
    "number": "1780901280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 5TH AVE",
            "address_2": "SUITE 206",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013348",
            "telephone_number": "415-419-3625",
            "fax_number": "844-477-7302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2397 SHATTUCK AVE",
            "address_2": "SUITE 206",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947041567",
            "telephone_number": "510-295-2198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATLON",
        "first_name": "ROBYN",
        "middle_name": "SUZANNE LENSING",
        "name_prefix": "Mrs.",
        "credential": "M.ED, M.A., PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-23",
        "last_updated": "2016-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY27899",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CA",
            "license": "PSY27899",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBYN",
            "last_name": "LENSING",
            "middle_name": "SUZANNE",
            "prefix": "MS.",
            "credential": "M.ED",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Berkeley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; 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.