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

NPI Status: Active since January 30, 2007

Contact Information

5755 OBERLIN DR
SUITE 301
SAN DIEGO, CA
ZIP 92121
Phone: (619) 225-2220
Fax: (619) 225-1126

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  • Individual
  • Male
  • Psychiatry & Neurology
  • Child & Adolescent Psychiatry
  • Opted-Out Medicare

About THOMAS JENSEN

This page provides the complete NPI Profile along with additional information for Thomas Jensen, a provider established in San Diego, California with a medical specialization in Psychiatry & Neurology, focusing in child & adolescent psychiatry . The healthcare provider is registered in the NPI registry with number 1265579585 assigned on January 2007. The practitioner's primary taxonomy code is 2084P0804X with license number G060979 (CA). The provider is registered as an individual and his NPI record was last updated 10 years ago.

NPI
1265579585
Provider Name
THOMAS SCOTT JENSEN M.D.
Gender
Male
Entity Type
Individual
Location Address
5755 OBERLIN DR SUITE 301 SAN DIEGO, CA 92121
Location Phone
(619) 225-2220
Location Fax
(619) 225-1126
Mailing Address
5755 OBERLIN DR SUITE 301 SAN DIEGO, CA 92121
Mailing Phone
(619) 225-2220
Mailing Fax
(619) 225-1126
Is Sole Proprietor?
Yes
Enumeration Date
01-30-2007
Last Update Date
01-21-2016
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The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Thomas Jensen opted out of Medicare effective on 12-18-2015 until 12-18-2025. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology Child & Adolescent Psychiatry

Taxonomy Code
2084P0804X
Type
Allopathic & Osteopathic Physicians
License No.
G060979
License State
CA
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12084P0804XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Child & Adolescent Psychiatry

013094 (ME)

Medicare Participation & PECOS Enrollment Status

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 12-18-2015

  • Opt-Out End Date: 12-18-2025

  • Eligible to Order and Refer? No

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1265579585, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
5
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
7
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
5
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 5 → 10 → 1 9 → 18 → 9 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 2 + 5 + 1 + 0 + 7 + 1 + 8 + 5 + 1 + 6 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1265579585.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Counselor (Mental Health)
5755 OBERLIN DR, SUITE 200
SAN DIEGO, CA 92121
Marriage & Family Therapist
5755 OBERLIN DR, SUITE # 200
SAN DIEGO, CA 92121
Clinical Medical Laboratory
5755 OBERLIN DR, SUITE 110
SAN DIEGO, CA 92121
Skilled Nursing Facility
5755 OBERLIN DR, SUITE 301
SAN DIEGO, CA 92121
Chiropractor
5755 OBERLIN DR, 301
SAN DIEGO, CA 92121
Behavior Analyst
5755 OBERLIN DR
SAN DIEGO, CA 92121
Behavior Technician
5755 OBERLIN DR
SAN DIEGO, CA 92121
Behavior Technician
5755 OBERLIN DR
SAN DIEGO, CA 92121
Behavior Technician
5755 OBERLIN DR
SAN DIEGO, CA 92121
Behavior Technician
5755 OBERLIN DR
SAN DIEGO, CA 92121
Behavior Technician
5755 OBERLIN DR
SAN DIEGO, CA 92121
Behavior Technician
5755 OBERLIN DR
SAN DIEGO, CA 92121
Behavior Technician
5755 OBERLIN DR
SAN DIEGO, CA 92121
Behavior Technician
5755 OBERLIN DR
SAN DIEGO, CA 92121
Behavior Technician
5755 OBERLIN DR
SAN DIEGO, CA 92121
Behavior Technician
5755 OBERLIN DR
SAN DIEGO, CA 92121
Behavior Technician
5755 OBERLIN DR
SAN DIEGO, CA 92121
Behavior Technician
5755 OBERLIN DR
SAN DIEGO, CA 92121
Behavior Technician
5755 OBERLIN DR
SAN DIEGO, CA 92121
Behavior Technician
5755 OBERLIN DR
SAN DIEGO, CA 92121

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265579585, enumerated as an "individual" on January 30, 2007.

The provider is located at 5755 OBERLIN DR SUITE 301 SAN DIEGO, CA 92121 and the phone number is (619) 225-2220.

Psychiatry & Neurology with taxonomy code 2084P0804X and a focus in Child & Adolescent Psychiatry.