Active NPI
Karin M Jinbo, PPS, LEP
- School Psychologist
- Mountain View, CA
National Provider Identifier
1891517967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- LEP4168
- Practice address
- 1400 Montecito Ave
Mountain View, CA 94043-4590 - Phone
- (707) 631-5115
- NPI assigned
- Oct 29, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 220128476 | CA | |
| School Psychologist | 103TS0200X | LEP4168 | CA | Primary |
Addresses
Primary practice location
1400 Montecito Ave
Mountain View, CA 94043-4590
Mailing address
PO Box 611507
San Jose, CA 95161-1507
Phone (707) 631-5115
Other practice location 1
PO Box 611507
San Jose, CA 95161-1507
Phone (707) 631-5115
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 220128476 | CA | MD | School Psychologist |
| LEP4168 | CA | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain View Whisman School District | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Local Education Agency (LEA)
- Mountain View, CA
- NPI 1215169297
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730160000000",
"number": "1891517967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 611507",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951611507",
"telephone_number": "707-631-5115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 MONTECITO AVE",
"city": "MOUNTAIN VIEW",
"state": "CA",
"postal_code": "940434590",
"telephone_number": "707-631-5115"
}
],
"practiceLocations": [
{
"address_1": "PO Box 611507",
"address_purpose": "LOCATION",
"city": "San Jose",
"state": "CA",
"postal_code": "951611507",
"country_code": "US",
"telephone_number": "707-631-5115",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JINBO",
"first_name": "KARIN",
"middle_name": "M",
"credential": "PPS, LEP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-10-29",
"last_updated": "2024-10-29",
"certification_date": "2024-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "CA",
"license": "220128476",
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "CA",
"license": "LEP4168",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mountain View, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.