Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. J E Raines, PSYD

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1104050897

Dr. J E Raines, PSYD is a Clinical Psychologist in Richmond, California. Qualified in 2012, 14 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
14
Licensed in
CA
In the registry since
2009
Specialties on file
2
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

901 Nevin Ave
Richmond, CA 94801-3143
Phone: (510) 307-1591
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 26289 (CA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X

Record details

NPI number1104050897
Entity typeIndividual (Type 1)
GenderNot disclosed
Credentials PSYD
Sole proprietorNo
NPI enumeratedMay 8, 2009
Last updated in NPPESJuly 9, 2024
Certification dateJuly 9, 2024
Mailing address1761 Broadway St Ste 100, Vallejo, CA 94589-2227

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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