Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jody Edwin Debruin, PHD

Individual provider Clinical Psychologist · NPI 1760633523

Dr. Jody Edwin Debruin, PHD is a Clinical Psychologist in Atascadero, California. Qualified in 2006, 20 years ago. Practices with Blue Sky Psychology Group Inc, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
20
Licensed in
CA
In the registry since
2008
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

10333 El Camino Real
Atascadero, CA 93422-5808
Phone: (805) 468-2000
Fax: (805) 468-6011
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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 21895 (CA)

Record details

NPI number1760633523
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedOctober 9, 2008
Last updated in NPPESJuly 15, 2013
Mailing address1600 9th St, Room 150 Fiscal Allocations And Estimates Unit, Sacramento, CA 95814-6414

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Blue Sky Psychology Group Inc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Atascadero