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ESPERANZA RANCH PSYCHOLOGY SERVICES CORPORATION NPI 1659906790


NPI Information

NPI: 1659906790
Provider Name: ESPERANZA RANCH PSYCHOLOGY SERVICES CORPORATION

Doing Business As: STILLWATER COUNSELING CENTERS

Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
3200 E GUASTI RD STE 100
ONTARIO, CA
ZIP 91761
Phone: (714) 225-0416
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ESPERANZA RANCH PSYCHOLOGY SERVICES CORPORATION is a clinical psychologist in Ontario, CA. The provider is 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. ESPERANZA RANCH PSYCHOLOGY SERVICES CORPORATION NPI is 1659906790. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Stillwater Counseling Centers.

The provider's business location address is:

3200 E GUASTI RD STE 100
ONTARIO, CA
ZIP 91761-661
Phone: (714) 225-0416
Fax: (909) 697-2785

The provider's authorized official is Jodi Raye Cabrera .
The authorized official title is President and has the following contact phone number (909) 757-4345.

The enumeration date for this NPI number is 3/10/2020 and was last updated on 6/2/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TB0200XPsychologistCognitive & BehavioralNo
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
3103TC0700XPsychologistClinicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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