DR. JOSEPH P REVETTO (NPI# 1154453843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154453843 |
| Entity Type | Individual |
| Full Name | DR. JOSEPH P REVETTO |
| Credential | PH.D. |
| Practice Address |
1255 W Colton Ave Suite 110 Redlands CA 92374-2861 |
| Practice Telephone | 9095563939 |
| Mailing Telephone | 9095563939 |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2011-04-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY16033 | CA | Behavioral Health & Social Service Providers |
| Street Address |
1255 W COLTON AVE SUITE 110 |
| City | REDLANDS |
| State | CA |
| Zip Code | 92374-2861 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013516350 | Lance J Johns Marriage and Family Therapy Inc | Clinic/Center | 1255 W Colton Ave, Redlands, CA 92374-2861 | 2020-10-19 |
| 1255954558 | Digna Rivera Woolum Licensed Clinical Social Worker Inc A Prof | Social Worker | 1255 W Colton Ave, Redlands, CA 92374-2861 | 2020-05-20 |
| 1407313356 | Acel Johnston Lmft Inc | Marriage & Family Therapist | 1255 W Colton Ave, Suite 121, Redlands, CA 92374-2861 | 2019-02-27 |
| 1265952550 | Digna Rocio Rivera Woolum | Social Worker | 1255 W Colton Ave, Redlands, CA 92374-2861 | 2017-06-27 |
| 1053768515 | Wgm Consulting LLC | Hospice Care, Community Based | 1255 W Colton Ave, Suite 529, Redlands, CA 92374-2861 | 2016-05-14 |
| 1568884286 | Zanetta Van Putten | Marriage & Family Therapist | 1255 W Colton Ave, Redlands, CA 92374-2861 | 2014-01-15 |
| 1811152325 | Kimberly E Carson | Marriage & Family Therapist | 1255 W Colton Ave, Suite 11, Redlands, CA 92374-2861 | 2008-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053802652 | V Rana Dds Inc | Clinic/Center | 1748 E Lugonia Ave Ste 126, Redlands, CA 92374 | 2018-05-21 |
| 1467979393 | Brianna Ashley Torres | Behavioral Analyst | 1467 Stillman Ave, Redlands, CA 92374 | 2017-08-22 |
| 1851821953 | Veronica Esqueda | Social Worker | 21 Crafton Ct, Redlands, CA 92374 | 2017-06-13 |
| 1053855783 | Caroline Daravi | Psychologist | 1706 Plum Lane #110, Redland, CA 92374 | 2016-12-14 |
| 1487092722 | Kathryn Wheeler | Speech-Language Pathologist | 112 Eleventh Street, Redlands, CA 92374 | 2013-06-10 |
| 1275979254 | Lifecare Solutions Inc | Durable Medical Equipment & Medical Supplies | 1220 Research Dr, Redlands, CA 92374 | 2013-05-16 |
| 1639515125 | Shantrice Nicole Burton | Speech-Language Pathologist | 1323 W Colton Ave Ste 105, Redlands, CA 92374 | 2013-05-11 |
| 1275898314 | Hrishikesh C Gogineni | Orthopaedic Surgery | 1801 Orange Tree Ln Ste 200, Redlands, CA 92374 | 2012-07-04 |
| 1609168897 | Mina Youssef | Psychiatry & Neurology | 26325 Snowden Ave, Redlands, CA 92374 | 2011-05-06 |
| 1902106545 | Jerrold Edward Hammer | Pharmacist | 422 N Orange St., Redlands, CA 92374 | 2010-10-29 |
| Find all providers in zip 92374 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295081313 | Michael Harlen Crane | Psychologist | 51 West Olive Ave, Redlands, CA 92373 | 2012-07-26 |
| 1992949754 | Redlands Therapy Group | Psychologist | 222 E Olive Ave, Suite 7, Redlands, CA 92373-5268 | 2009-04-23 |
| 1063625036 | Hsinya Chichester | Psychologist | 339 Cajon St Ste B, Redlands, CA 92373-5901 | 2007-05-07 |
| 1306980982 | Joseph Ralph Ortiz I | Psychologist | 1573 Gold Cup Ct, Redlands, CA 92374-2767 | 2007-02-16 |
| 1033269675 | Kenneth Hutchins | Psychologist | 47 1st St, Redlands, CA 92373-4601 | 2007-01-12 |
| 1083728513 | John Austin Davis | Psychologist | 300 E State St, Redlands, CA 92373-5235 | 2006-08-19 |
| 1588671432 | Pat M Beaupre | Psychologist | 511 Brookside Ave, Redlands, CA 92373-4611 | 2006-08-02 |
| 1316968894 | Jennifer Louise Weniger | Psychologist | Loma Linda Behavioral Medicine Center, 1710 Barton Rd., Redlands, CA 72372 | 2006-07-21 |
| 1275565046 | Lafaye Cunningham Sutkin | Psychologist | 537 Cajon St, Redlands, CA 92373-5903 | 2006-07-06 |
| 1376524645 | John Thomas Harlow Engelhardt | Psychologist | 330 6th St Ste 110, Redlands, CA 92374-3312 | 2005-11-14 |
| Find all providers in REDLANDS | ||||
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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.