DR. KELLINE MARIE DEESPINOSA (NPI# 1407981541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407981541 |
| Entity Type | Individual |
| Full Name | DR. KELLINE MARIE DEESPINOSA |
| Credential | PSY.D. |
| Practice Address |
934 N Mountain Ave Suite C Upland CA 91786-3659 |
| Mailing Address |
Po Box 223 Chino Hills CA 91709-0008 |
| Practice Telephone | 9095798154 |
| Mailing Telephone | 9095798154 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY19312 | CA | Behavioral Health & Social Service Providers |
| Street Address |
934 N MOUNTAIN AVE SUITE C |
| City | UPLAND |
| State | CA |
| Zip Code | 91786-3659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811060908 | Joshua Michael Kruse | Student in an Organized Health Care Education/Training Program | 934 N Mountain Ave, Suite C, Upland, CA 91786-3659 | 2006-11-16 |
| 1801451026 | Christopher Walters | Counselor | 934 N Mountain Ave, Upland, CA 91786-3659 | 2019-05-02 |
| 1154721728 | Elizabeth Ann Ello | Counselor | 934 N Mountain Ave, Upland, CA 91786-3659 | 2014-09-02 |
| 1811312168 | Perlena Brown | Counselor | 934 N Mountain Ave, Upland, CA 91786-3659 | 2014-02-24 |
| 1700186459 | Jessica Yvonne Ortiz | Counselor | 934 N Mountain Ave, Upland, CA 91786-3659 | 2010-10-28 |
| 1083943369 | Rachel Padilla | Marriage & Family Therapist | 934 N Mountain Ave, C, Upland, CA 91786-3659 | 2009-12-15 |
| 1760664965 | Constance Alice Davis | Marriage & Family Therapist | 934 N Mountain Ave, Upland, CA 91786-3659 | 2007-11-29 |
| 1780865055 | Pantea Bagheri | Counselor | 934 N Mountain Ave, Suite C, Upland, CA 91786-3659 | 2007-11-15 |
| 1629107644 | Jesse Juarez | Counselor | 934 N Mountain Ave, Ste C, Upland, CA 91786-3659 | 2007-03-05 |
| 1588792618 | Amy Elizabeth Carpenter Harvey | Marriage & Family Therapist | 934 N Mountain Ave, Suite C, Upland, CA 91786-3659 | 2007-03-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366093254 | California Clinics, Inc | Physical Medicine & Rehabilitation | 818 N Mountain Ave Ste 102, Upland, CA 91786 | 2019-09-23 |
| 1699231621 | Lynn Keitz | Nurse Practitioner | 360 East 7th Street, Suite D, Upland, CA 91786 | 2019-02-14 |
| 1003386608 | Devin A Lockett | Counselor | 916 N, Mountain Ave. Suite D-1, Upland, CA 91786 | 2018-11-27 |
| 1265900096 | Right Ride | Driver | 1023 West Arrow Hwy Apt A, Upland, CA 91786 | 2018-11-09 |
| 1689142069 | Mike Sedat Safi | Driver | 1023 W Arrow Hwy, Apt A, Upland, CA 91786 | 2018-11-05 |
| 1902373640 | Barsoum Dental | Dentist | 258 E. 9th Street, Upland, CA 91786 | 2018-10-31 |
| 1346736600 | Jennifer Lynn Henshaw | Counselor | Rosewood Counseling Center, 288 W 9th Street, Upland, CA 91786 | 2018-07-10 |
| 1972099521 | Sadeg Aldolaim | Nurse Practitioner | 2086 W Arrow Route, Apt 824, Upland, CA 91786 | 2018-07-06 |
| 1831607332 | Sandra Sun | Pharmacist | 1445 E. Foothill Blvd., Upland, CA 91786 | 2018-01-18 |
| 1841713625 | Dynamic Performance Physical Therapy Inc | Clinic/Center | 2377 W. Foothill Blvd, Ste 20, Upland, CA 91786 | 2017-07-24 |
| Find all providers in zip 91786 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164023867 | Watson, Sanchez, & Navarro Psychological Group | Psychologist | 270 E 7th St Ste 1c, Upland, CA 91786-6602 | 2020-11-08 |
| 1275157786 | Craig Alan Muir | Psychologist | 1257 Sandra Ct, Upland, CA 91786-2507 | 2020-05-31 |
| 1922320845 | Elena Krishtal | Psychologist | 1693 Carmel Cir East, Upland, CA 91784-1706 | 2010-02-19 |
| 1619152881 | Louis Ray Barnett | Psychologist | 954 West Foothill Blvd, Suite A, Upland, CA 91786-3782 | 2008-01-07 |
| 1598880700 | Lynne Ellen Perry | Psychologist | 225 N Euclid Blvd, Upland, CA 91286 | 2007-03-20 |
| 1033246582 | Connie Joanne Johnshoy-currie | Psychologist | 225 N Euclid Ave, Upland, CA 91786-6038 | 2007-02-28 |
| 1659478113 | Douglas G Mckown | Psychologist | 1126 W. Foothill Blvd. Suite 110, Upland, CA 91786-3786 | 2006-09-19 |
| 1669817607 | Michael Stuart Leibow | Psychologist | 954 W Foothill Blvd Ste A, Upland, CA 91786-3782 | 2013-05-03 |
| 1578897898 | Daniel K. Raker | Psychologist | 818 N Mountain Ave, Suite 203g, Upland, CA 91786-4167 | 2009-09-21 |
| 1801022272 | Lori Anne Sortino-williams | Psychologist | 390 N Euclid Ave, Upland, CA 91786-4763 | 2009-05-30 |
| Find all providers in UPLAND | ||||
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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.