REDLANDS PSYCHOLOGICAL SERVICES (NPI# 1669717922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669717922 |
| Entity Type | Organization |
| Organization Name | REDLANDS PSYCHOLOGICAL SERVICES |
| Practice Address |
104 E Olive Ave Ste 100 Redlands CA 92373-5255 |
| Practice Telephone | 9093272735 |
| Practice Fax Number | 9093272735 |
| Mailing Telephone | 9093272735 |
| Mailing Fax Number | 9093272735 |
| Enumeration Date | 2012-11-27 |
| Last Update Date | 2015-03-26 |
| Authorized Official Name | DR. GLENN POTTS (OWNER/ PSYCHOLOGIST) |
| Authorized Official Telephone | 9099044462 |
| Authorized Official Credential | M.DIV., PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TP0814X |
Psychologist Specialization: Psychoanalysis |
PSY 23630 | CA | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY 23630 | CA | Behavioral Health & Social Service Providers |
| Street Address |
104 E OLIVE AVE STE 100 |
| City | REDLANDS |
| State | CA |
| Zip Code | 92373-5255 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982269031 | Hubmd PC | Urology | 104 E Olive Ave Ste 100, Redlands, CA 92373-5255 | 2019-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508473422 | Mindfulness Counseling Services | Marriage & Family Therapist | 101 E. Redlands, Suite 170a, Redlands, CA 92373 | 2020-09-24 |
| 1710596721 | Vandna Mittal | Counselor | 26967 Beamount Avenue, 1020 Coronado Drive, Redlands, CA 92373 | 2020-07-26 |
| 1164062345 | Sara Bencoe | Nurse Practitioner | 101 E. Redlands Blvd. Ste. 106, Redlands, CA 92373 | 2020-01-15 |
| 1033604103 | John Duane Wuchenich | Anesthesiology | 451 Summit Avenue, Redlands, CA 92373 | 2018-06-29 |
| 1013401074 | Adept Hospice Care | Hospice Care, Community Based | 515 New Jersey St., Suite G, Redlands, CA 92373 | 2018-06-21 |
| 1134616121 | Rodrigo Robles | Student in an Organized Health Care Education/Training Program | 26001 Redlands Blvd ., 2nd Floor, 2d 301, Redlands, CA 92373 | 2018-04-16 |
| 1760987614 | Redlands Endodontics | Dentist | 245 Terracina Blvd Suite 207 B, Redlands, CA 92373 | 2018-03-23 |
| 1487164166 | Tyler Stafford | Behavioral Analyst | 1467 Ford St. Suite 104, Redlands, CA 92373 | 2017-10-06 |
| 1083131486 | Shannon Palmowski | Behavioral Analyst | Institute for Behavioral Health, 1041 Alabama Ave, Redlands, CA 92373 | 2017-08-25 |
| 1275062622 | Erim Sarbuland | Marriage & Family Therapist | 101 East Redlands Boulevard, Suites #215, Redlands, CA 92373 | 2017-06-08 |
| Find all providers in zip 92373 | ||||
| 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 |
| 1154453843 | Joseph P Revetto | Psychologist | 1255 W Colton Ave, Suite 110, Redlands, CA 92374-2861 | 2007-03-09 |
| 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 |
| 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.