Jaseon Outlaw, PHD
NPI 1861747552 · Clinical Psychologist · San Leandro, CA
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jaseon Outlaw, PHD is a Clinical Psychologist provider in San Leandro, CA (NPI 1861747552).
Provider details
- NPI number
- 1861747552
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Male
- Sole proprietor
- Yes
- License
- PSY23676 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-07-18
- Last updated
- 2016-03-29
Frequently asked questions
- What is Jaseon Outlaw's NPI number?
- Jaseon Outlaw's National Provider Identifier (NPI) is 1861747552, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jaseon Outlaw's specialty?
- Jaseon Outlaw is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Jaseon Outlaw located?
- Jaseon Outlaw's practice location on file with NPPES is 13847 E 14th St Ste 202, San Leandro, CA 94578-2626.
- What is Jaseon Outlaw's phone number?
- The practice phone number listed in the NPPES registry for Jaseon Outlaw is (510) 463-1302.
- Does Jaseon Outlaw accept Medicare?
- Jaseon Outlaw is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jaseon Outlaw's NPI active?
- Yes — Jaseon Outlaw's NPI (1861747552) is active in the NPPES registry as of the last update on 2016-03-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.