LOMA LINDA UNIVERSITY (NPI# 1922354349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922354349 |
| Entity Type | Organization |
| Organization Name | LOMA LINDA UNIVERSITY |
| Practice Address |
1686 Barton Rd Redlands CA 92373-1488 |
| Mailing Address |
File # 54701 Los Angeles CA 90074-4701 |
| Practice Telephone | 9095589551 |
| Enumeration Date | 2012-08-03 |
| Last Update Date | 2012-08-03 |
| Authorized Official Name | LISA WOLTER (PROVIDER ENROLLMENT REP) |
| Authorized Official Telephone | 9096514352 |
| Is Organization Subpart | Y |
| Parent Organization Name | LOMA LINDA UNIVERSITY HEALTH SYSTEMS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376044040 | Loma Linda University | Physical Therapist | 25455 Barton Rd Ste 208a, Loma Linda, CA 92354-3177 | 2018-02-27 |
| 1336582964 | Loma Linda University | General Acute Care Hospital | 1659 E G St Apt 243, Ontario, CA 91764-4488 | 2013-04-13 |
| 1831532589 | Loma Linda University | General Acute Care Hospital | 11060 Anderson St, Loma Linda, CA 92350-0001 | 2013-04-12 |
| 1760774947 | Loma Linda University | Special Hospital | 1234 Anderson Street, Gme Office Csp 21005, Loma Linda, CA 92350 | 2011-05-06 |
| 1134253339 | Loma Linda University | Dentist | 11092 Anderson Street, Loma Linda, CA 92354 | 2007-03-16 |
| 1780740704 | Loma Linda University | Dentist | 159 W Hospitality Ln Ste 201, San Bernardino, CA 92408-3348 | 2006-12-28 |
| 1962566679 | Loma Linda University | Clinic/Center | 11145 Anderson St, Suite 205, Loma Linda, CA 92350-0001 | 2006-12-20 |
| 1639270846 | Loma Linda University | Clinic/Center | 11092 Anderson St., Loma Linda University School of Dentistry, Loma Linda, CA 92354 | 2006-09-26 |
| 1003923061 | Loma Linda University | Clinic/Center | Loma Linda University-center for Health Promotion, 24785 Stewart Street, Room 111, Loma Linda, CA 92350-0001 | 2006-08-24 |
| 1720443526 | Loma Linda University | Pharmacy | 250 S G St, San Bernardino, CA 92410-3320 | 2015-12-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LOMA LINDA UNIVERSITY ADVENTIST HEALTH SCIENCES CENTER | 11175 Campus St Csp 11006, Loma Linda, CA 92354 |
| System for Award Management (SAM) Entities | LOMA LINDA UNIVERSITY MEDICAL CENTER - MURRIETA | 28062 Baxter Rd, Murrieta, CA 92563-1401 |
| System for Award Management (SAM) Entities | LOMA LINDA UNIVERSITY PATHOLOGY MEDICAL GROUP, INC. | 1911 W Park Ave, Redlands, CA 92373-8045 |
| System for Award Management (SAM) Entities | LOMA LINDA UNIVERSITY SHARED SERVICES | 11175 Campus St, Loma Linda, CA 92354-1700 |
| Street Address |
1686 BARTON RD |
| City | REDLANDS |
| State | CA |
| Zip Code | 92373-1488 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558311373 | Faculty Physicians and Surgeons of Llusm | Psychologist | 1686 Barton Rd, Redlands, CA 92373-7761 | 2006-05-11 |
| 1841717220 | Amber Moland | Behavioral Analyst | 1686 Barton Rd, Redlands, CA 92373-1488 | 2017-08-25 |
| 1972020840 | Jessica Nicole Leigh | Behavioral Analyst | 1686 Barton Rd, Redlands, CA 92373-1488 | 2017-08-23 |
| 1720500457 | Loma Linda University Behavioral Medicine Center, Inc. | Psychiatric Hospital | 1686 Barton Rd, Redlands, CA 92373-1488 | 2017-07-14 |
| 1609317098 | Jenny Haeyeon Lee | Psychologist | 1686 Barton Rd, Redlands, CA 92373-1488 | 2017-03-17 |
| 1750735650 | Neal Ryan Christopher | Psychiatry & Neurology | 1686 Barton Rd, Redlands, CA 92373 | 2016-04-17 |
| 1679948103 | Don Mellor Jr. | Psychologist | 1686 Barton Rd, Redlands, CA 92373-1488 | 2015-12-09 |
| 1366701401 | Katia Sirel Stoletniy | Psychiatry & Neurology | 1686 Barton Rd, Redlands, CA 92373-1488 | 2012-05-10 |
| 1114217619 | Darcy Trenkle | Psychiatry & Neurology | 1686 Barton Rd, Box E, Redlands, CA 92373-1488 | 2011-04-18 |
| 1205155751 | Jennifer Minami | Psychiatry & Neurology | 1686 Barton Rd, Redlands, CA 92373 | 2010-05-24 |
| Find all providers in the same location | ||||
| 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 | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902276306 | Rebecca Elise Ballinger | Psychologist | 101 E Redlands Blvd Ste 234g, Redlands, CA 92373 | 2015-09-29 |
| 1730589391 | Inland Counseling Corporation | Psychologist | 1255 W Colton Ave Ste 110, Redlands, CA 92374-2861 | 2014-09-01 |
| 1457587826 | Caroline Daravi | Psychologist | 1706 Plum Ln Ste 110, Redlands, CA 92374-4578 | 2009-05-29 |
| 1710016530 | Inland Psychiatric Medical Group, Inc | Psychologist | 405 Missouri Ct, Redlands, CA 92373-8083 | 2007-03-05 |
| 1760510150 | Antonia Ciovica | Psychologist | 1686 Barton Rd Ste E, Redlands, CA 92373-1489 | 2007-02-28 |
| 1275669475 | Grand Terrace Psychological Services, Inc. | Psychologist | 721 Nevada St Ste 203, Redlands, CA 92373-8051 | 2007-02-24 |
| 1013096890 | William Carey Shearer | Psychologist | 1902 Orange Tree Ln, Suite 150, Redlands, CA 92374-2888 | 2006-11-03 |
| 1760599260 | William Paul Nelson | Psychologist | 420 Brookside Ave, Redlands, CA 92373-4610 | 2006-08-23 |
| 1558311373 | Faculty Physicians and Surgeons of Llusm | Psychologist | 1686 Barton Rd, Redlands, CA 92373-7761 | 2006-05-11 |
| 1386606143 | Constance Marie Taylor | Psychologist | 222 E. Olive Avenue, Suite 7, Redlands, CA 92373-5268 | 2006-04-05 |
| 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.