MINDSHIFT PSYCHOLOGICAL SERVICES INC (NPI# 1124656194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124656194 |
| Entity Type | Organization |
| Organization Name | MINDSHIFT PSYCHOLOGICAL SERVICES INC |
| Practice Address |
1101 California Ave Ste 100 Corona CA 92881-6472 |
| Mailing Address |
4000 Macarthur Blvd Fl 6 Newport Beach CA 92660-2558 |
| Practice Telephone | 7145849700 |
| Practice Fax Number | 7145849700 |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2020-05-21 |
| Authorized Official Name | RACHAEL MONTGOMERY (OWNER) |
| Authorized Official Telephone | 7145849700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
1101 CALIFORNIA AVE STE 100 |
| City | CORONA |
| State | CA |
| Zip Code | 92881-6472 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124054119 | Randall B Davis | Marriage & Family Therapist | 1101 California Ave Ste 100, Corona, CA 92881-6472 | 2006-06-23 |
| 1124594106 | Rachael Montgomery | Psychologist | 1101 California Ave Ste 100, Corona, CA 92881-6472 | 2018-10-17 |
| 1942741079 | William Boyer | Marriage & Family Therapist | 1101 California Ave Ste 100, Corona, CA 92881 | 2017-03-08 |
| 1497007900 | Connect Hearing, Inc. | Audiologist | 1101 California Ave Ste 100, Corona, CA 92881-6472 | 2012-10-08 |
| 1457653545 | Nguyen Tran | Hearing Instrument Specialist | 1101 California Ave Ste 100, Corona, CA 92881-6472 | 2010-11-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326682519 | Kadour and Hattar Inc | Pharmacy | 1973 Foothill Pkwy, Bldg F, Ste 106, Corona, CA 92881 | 2019-10-31 |
| 1861034944 | Jongguon Kim Dds Dental Corporation | Clinic/Center | 1973 Foothill Parkway, Suite 102, Corona, CA 92881 | 2019-10-10 |
| 1952874968 | Sasha M Dunn | Behavior Technician | 2144 Wembley Lane, Corona, Corona, CA 92881 | 2019-01-03 |
| 1053880450 | Tori Bissett Bowyer | Behavioral Analyst | 3439 White Sage St, Corona, CA 92881 | 2018-11-15 |
| 1104351097 | Victoria S. Brown | Family Medicine | 2071 Compton Ave #103, Corona, CA 92881 | 2017-04-27 |
| 1740695493 | Zoha Fazel | Counselor | 1240 E Ontario Ave Ste 102-182, Corona, CA 92881 | 2014-06-20 |
| 1720347222 | Neda Arjomandi | Podiatrist | 1881 California Ave Ste 102, Corona, CA 92881 | 2012-05-03 |
| 1891067864 | Valley Laparoscopic Surgical Associates, Inc. | Specialist | 2083 Compton Ave Ste 104, Corona, CA 92881 | 2012-02-06 |
| 1922396191 | Michelle Ann Mueller | Dietitian, Registered | 1800 Firethorne Plance, Apt. 108, Corona, CA 92881 | 2011-07-21 |
| 1558668772 | Jenna Lalas Eugenio | Physician Assistant | 2097 Compton Ave Ste 103, Corona, CA 92881 | 2011-02-24 |
| Find all providers in zip 92881 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629688932 | Shivani Malhotra Borhara | Counselor | 4710 111th St Fl 2, Corona, NY 11368-2921 | 2020-08-03 |
| 1659902161 | Shifted Perspective Consulting | Counselor | 1002 W 5th St, Corona, CA 92882-1806 | 2020-02-03 |
| 1770128555 | Ronny Ron Loeur | Counselor | 25103 Sagebush Way, Corona, CA 92883-3045 | 2019-11-15 |
| 1043852767 | Adriana P Mendez | Counselor | 7979 Minnesota Rd Apt F, Corona, CA 92881-4316 | 2019-10-14 |
| 1851943377 | Webertech Inc. | Counselor | 765 N Main St # 122, Corona, CA 92880-1440 | 2019-07-15 |
| 1356903728 | Shamim Rahman | Counselor | 3294 Crystal Ridge Cir, Corona, CA 92882-7944 | 2019-07-05 |
| 1780149740 | Melodie Lacy | Counselor | 3370 Sterling Dr, Corona, CA 92882-8657 | 2019-02-04 |
| 1477073468 | Adrian Macias I | Counselor | 2275 South Main Street Suite 201 Corona, Ca 92882, Corona, CA 92882 | 2017-06-21 |
| 1699205286 | Sylvia Barrow | Counselor | 2275 South Main Street Suite 201, Corona, CA 92882 | 2017-06-15 |
| 1548622889 | Shanee Marzettee Brown | Counselor | 11762 De Palma Rd, Suite 1-c, #108, Corona, CA 92883-4010 | 2016-03-25 |
| Find all providers in CORONA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.