STEVE WYSOCKI PH.D. PC DBA ALTA LOMA PSYCHOLOGICAL ASSOC NPI 1003940560

NPI Information

  • NPI: 1003940560
  • Provider Name: STEVE WYSOCKI, PH.D., PC DBA ALTA LOMA PSYCHOLOGICAL ASSOC
  • Classification: Psychologist - 103TC0700X
  • Specialization: Clinical
  • Entity Type: Organization
  • Address: 9089 BASELINE RD.
    #200
    RANCHO CUCAMONGA, CA
    ZIP 91730
  • Phone: (909) 980-3567

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NPI Details

STEVE WYSOCKI, PH.D., PC DBA ALTA LOMA PSYCHOLOGICAL ASSOC is a clinical psychologist in Rancho Cucamonga, 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. STEVE WYSOCKI, PH.D., PC DBA ALTA LOMA PSYCHOLOGICAL ASSOC NPI is 1003940560. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9089 BASELINE RD.
#200
RANCHO CUCAMONGA, CA
ZIP 91730-295
Phone: (909) 980-3567
Fax: (909) 989-3932

The provider's authorized official is Steve R. Wysocki .
The authorized official title is Clinical Psychologist and has the following contact phone number (909) 980-3567.

The enumeration date for this NPI number is 3/15/2007 and was last updated on 3/4/2009.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041C0700XSocial WorkerClinicalLCS 16794CALIFORNIANo
2106H00000XMarriage & Family TherapistMFC 28102CALIFORNIANo
3103TC0700XPsychologistClinicalPSY 6143CALIFORNIAYes

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: 3/30/2025

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