Individual provider Active NPI

Karin M Jinbo, PPS, LEP

  • School Psychologist
  • Mountain View, CA
National Provider Identifier
1891517967
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
LEP4168 Issued in CA
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

Updated by the provider on Oct 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
220128476CAMDSchool Psychologist
LEP4168CAMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain View Whisman School District CurrentSince Jan 12, 2025 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.

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.

Verify at the official NPI Registry.