THOMAS SCOTT JENSEN M.D.
NPI 1265579585
Psychiatry & Neurology - Child & Adolescent Psychiatry in San Diego, CA

Q: What is Thomas Jensen's NPI number?

The NPI number for Thomas Jensen is 1265579585. It was assigned to this individual provider in the NPPES registry on January 30, 2007.

Q: What is Thomas Jensen's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Q: Is Thomas Jensen enrolled in Medicare?

No. Thomas Jensen has opted out of Medicare through December 18, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Thomas Jensen was last updated on January 21, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 30, 2007Opted out of Medicare · through Dec 18, 2027

5755 OBERLIN DR, SUITE 301, SAN DIEGO, CA 92121(619) 225-2220(619) 225-1126 Get Directions Write a Review

NPPES record last updated: January 21, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Thomas Scott Jensen M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THOMAS SCOTT JENSEN M.D. (NPI 1265579585) is an individual child & adolescent psychiatry provider in San Diego, California, licensed in California (G060979) and active in the NPI registry since January 2007. He has opted out of Medicare through December 18, 2027.

NPPES Registry Identity

NPI1265579585

Entity TypeIndividualMale

Primary Taxonomy2084P0804X

Provider Legal NameTHOMAS SCOTT JENSENCredential: M.D.

Location Address5755 OBERLIN DR, SUITE 301San Diego, CA 92121-1786

Mailing Address5755 Oberlin Dr, Suite 301San Diego, CA 92121-1786 · (619) 225-2220 · Fax (619) 225-1126

Phone(619) 225-2220

Fax(619) 225-1126

Sole ProprietorYes

Enumeration DateJanuary 30, 2007

Last NPPES UpdateJanuary 21, 2016

✔ NPI 1265579585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

Licenses✔ Licensed in CA · G060979✔ Licensed in ME · 013094

Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

5755 OBERLIN DR, San Diego, CA 92121

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Thomas Scott Jensen M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 18, 2015 through December 18, 2027.

Opt-Out Effective DateDecember 18, 2015

Opt-Out In Effect ThroughDecember 18, 2027Opt-out affidavits renew automatically every two years unless cancelled

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MITCHELL HOLLAND D.C.

Chiropractor

5755 OBERLIN DR, 301
SAN DIEGO, CA 92121

San Diego County (619) 215-5050

WENDDY MENDOZA MARTINEZ

Behavior Technician