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RED OAK PSYCHOLOGY GROUP CORPORATION NPI 1275150955


NPI Information

NPI: 1275150955
Provider Name: RED OAK PSYCHOLOGY GROUP CORPORATION
Classification: Psychologist - 103TB0200X
Entity Type: Organization

Specialization: Cognitive & Behavioral

Address:
10832 LAUREL ST STE 102
RANCHO CUCAMONGA, CA
ZIP 91730
Phone: (909) 987-1997
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RED OAK PSYCHOLOGY GROUP CORPORATION is a cognitive and behavioral psychologist in Rancho Cucamonga, CA. The provider is a psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking. RED OAK PSYCHOLOGY GROUP CORPORATION NPI is 1275150955. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10832 LAUREL ST STE 102
RANCHO CUCAMONGA, CA
ZIP 91730-688
Phone: (909) 987-1997
Fax: (909) 987-0993

The provider's authorized official is Stacey Ann Tobie .
The authorized official title is Cfo and has the following contact phone number (909) 987-1997.

The enumeration date for this NPI number is 6/29/2020 and was last updated on 8/9/2020.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1106H00000XMarriage & Family TherapistNo
2103TC0700XPsychologistClinicalNo
3103TF0200XPsychologistForensicNo
4103TP0814XPsychologistPsychoanalysisNo
5103TP2701XPsychologistGroup PsychotherapyNo
61041C0700XSocial WorkerClinicalNo
72084P0800XPsychiatry & NeurologyPsychiatryNo
8363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
9103TB0200XPsychologistCognitive & BehavioralYes

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.