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REDLANDS PSYCHOLOGICAL SERVICES NPI 1669717922


NPI Information

NPI: 1669717922
Provider Name: REDLANDS PSYCHOLOGICAL SERVICES
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

CLIA Number: 05D0574087

Address:
104 E OLIVE AVE STE 100
REDLANDS, CA
ZIP 92373
Phone: (909) 327-2735
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REDLANDS PSYCHOLOGICAL SERVICES is a clinical psychologist in Redlands, 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. REDLANDS PSYCHOLOGICAL SERVICES NPI is 1669717922. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

104 E OLIVE AVE STE 100
REDLANDS, CA
ZIP 92373-255
Phone: (909) 327-2735
Fax: (909) 327-2735

The provider's authorized official is Glenn Potts .
The authorized official title is Owner/ Psychologist and has the following contact phone number (909) 904-4462.

The CLIA number assigned to this NPI record is 05D0574087 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 11/27/2012 and was last updated on 3/26/2015.


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
1103TP0814XPsychologistPsychoanalysisPSY 23630CALIFORNIANo
2103TC0700XPsychologistClinicalPSY 23630CALIFORNIAYes

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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