JASMINE STATEN
NPI 1578062261
Psychologist - Clinical Child & Adolescent in Dayton, OH

Q: What is Jasmine Staten's NPI number?

The NPI number for Jasmine Staten is 1578062261. It was assigned to this individual provider in the NPPES registry on February 7, 2018.

Q: What is Jasmine Staten's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Q: When was this NPI record last updated?

The NPPES record for Jasmine Staten was last updated on April 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 07, 2018PECOS Enrolled

1010 VALLEY ST, DAYTON, OH 45404(937) 641-3401(937) 641-3046 Get Directions Write a Review

NPPES record last updated: April 2, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 2, 2026, Nov 5, 2025, Dec 6, 2023 and 2 more (5 updates tracked since 2020).

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About Jasmine Staten NPPES

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

JASMINE STATEN (NPI 1578062261) is an individual clinical child & adolescent provider in Dayton, Ohio, licensed in Ohio (P.08569) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS and maintains 8 additional practice locations.

NPPES Registry Identity

NPI1578062261

Entity TypeIndividualFemale

Primary Taxonomy103TC2200X

Provider Legal NameJASMINE STATEN

Location Address1010 VALLEY STDayton, OH 45404-2070

Mailing AddressPo Box 933421Cleveland, OH 44193-0039 · (937) 641-5072 · Fax (937) 641-6129

Phone(937) 641-3401

Fax(937) 641-3046

Sole ProprietorNo

Enumeration DateFebruary 7, 2018

Last NPPES UpdateApril 2, 20265 updates tracked since enumeration

NPPES CertifiedApril 2, 2026

✔ NPI 1578062261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers

Taxonomy Code103TC2200X

License✔ Licensed in OH · P.08569

Definition

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

1010 VALLEY ST, Dayton, OH 45404

Open in Google Maps ↗

Secondary Practice Locations 8

Location 1204 Patrick AveUrbana, OH 43078-2302 · Phone (937) 484-6157 · Fax (937) 484-6181

Location 21640 N Limestone StSpringfield, OH 45503-2652 · Phone (937) 328-2320 · Fax (937) 328-2349

Location 39000 N Main St Ste 332Englewood, OH 45415-1185 · Phone (937) 832-7337 · Fax (937) 832-4817

Location 45501 Far Hills Ave Ste 200Dayton, OH 45429-2203 · Phone (937) 436-2866 · Fax (937) 436-1468

Location 51425 N Fairfield Rd Ste 220Beavercreek, OH 45432-2673 · Phone (937) 320-1950 · Fax (937) 320-9332

Location 63333 W Tech Rd Ste 220Miamisburg, OH 45342-0956 · Phone (937) 748-6116 · Fax (937) 291-6956

Location 71 Childrens PlzDayton, OH 45404-1815 · Phone (937) 641-3401 · Fax (937) 641-3046

Location 81816 Harvard Blvd Ste 202Dayton, OH 45406-4539 · Phone (937) 641-3401 · Fax (937) 641-3046

Other Identifiers 1

Medicaid0288064OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, Oscar Health Insurance and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jasmine Staten is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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. SARA FRANCES GUERRERO-DUBY MD

Pediatrics