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DR. JUSTIN ROBERT CHERNOW PH.D.
NPI 1790070647
Psychologist - Clinical in San Luis Obispo, CA

Active since June 17, 2011PECOS EnrolledAccepts Medicare Assignment
1011 PACIFIC ST STE 200, SAN LUIS OBISPO, CA 93401(805) 835-7441 Get Directions Write a Review

NPPES record last updated: May 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 16, 2024, Aug 23, 2023, Jun 16, 2023 and 1 more (4 updates tracked since 2023).

About Dr. Justin Robert Chernow Ph.d. NPPES

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

DR. JUSTIN ROBERT CHERNOW PH.D. (NPI 1790070647) is an individual clinical provider in San Luis Obispo, California, licensed in California (PSY 24166) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1790070647
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JUSTIN ROBERT CHERNOWCredential: PH.D.
Location Address1011 PACIFIC ST STE 200San Luis Obispo, CA 93401-3600
Mailing AddressPo Box 3921Paso Robles, CA 93447-3921 · (805) 835-7441
Phone(805) 835-7441
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateJune 17, 2011
Last NPPES UpdateMay 16, 20244 updates tracked since enumeration
NPPES CertifiedMay 16, 2024
✔ NPI 1790070647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · PSY 24166
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
1011 PACIFIC ST STE 200, San Luis Obispo, CA 93401
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Justin Robert Chernow Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2163885310
PECOS Enrollment IDI20230906000363
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$178.89 typical visit price
range $59.84 – $178.89
Typical copayment $44.72 (range $14.96 – $44.72)
Most-billed visit code 99205
Established Patient
$104.82 typical visit price
range $19.70 – $146.55
Typical copayment $26.20 (range $4.92 – $36.63)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

DANIELLE MARTIN-JENSEN SUDRC
Counselor (Addiction (Substance Use Disorder))
1011 PACIFIC ST STE 200
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (408) 641-0387
MS. JENNA MORTENSEN
Counselor (Mental Health)
1011 PACIFIC ST STE 200
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 329-8051

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Justin Chernow's NPI number?

The NPI number for Justin Chernow is 1790070647. It was assigned to this individual provider in the NPPES registry on June 17, 2011.

Where is Justin Chernow located?

Justin Chernow practices at 1011 Pacific St Ste 200, San Luis Obispo, CA 93401. The listed phone number is (805) 835-7441.

What is Justin Chernow's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Justin Chernow enrolled in Medicare?

Yes. Justin Chernow is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Justin Chernow was last updated on May 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.