VERDUGO PSYCHOLOGICAL ASSOCIATES (NPI# 1053899773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053899773 |
| Entity Type | Organization |
| Organization Name | VERDUGO PSYCHOLOGICAL ASSOCIATES |
| Practice Address |
10470 Foothill Blvd Ste 116 Rancho Cucamonga CA 91730 |
| Mailing Address |
466 Foothill Blvd # 205 La Canada CA 91011-3518 |
| Practice Telephone | 9099894055 |
| Enumeration Date | 2018-08-03 |
| Last Update Date | 2019-06-04 |
| Authorized Official Name | DR. EMIN GHARIBIAN (OWNER/ CEO) |
| Authorized Official Telephone | 8182531161 |
| Authorized Official Credential | PSYD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
29643 | CA | Behavioral Health & Social Service Providers |
| N | 103TF0200X |
Psychologist Specialization: Forensic |
29643 | CA | Behavioral Health & Social Service Providers |
| Y | 103G00000X | Clinical Neuropsychologist | 29643 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 595 E Colorado Blvd Ste 628, Pasadena, CA 911015222 | 9099894055 | |
| 711 E Walnut St Ste 909-989, Pasadena, CA 911011676 | 9099894055 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | VERDUGO PSYCHOLOGICAL ASSOCIATES | 1618 Heather Ridge Drive, Glendale, CA 91207-1036 |
| Street Address |
10470 FOOTHILL BLVD STE 116 |
| City | RANCHO CUCAMONGA |
| State | CA |
| Zip Code | 91730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356466973 | Timothy Gunn | Psychologist | 10470 Foothill Blvd Ste 116, Rancho Cucamonga, CA 91730 | 2007-03-20 |
| 1750928438 | Jacob Daniel Jones | Clinical Neuropsychologist | 10470 Foothill Blvd Ste 116, Rancho Cucamonga, CA 91730-3754 | 2019-12-02 |
| 1669885380 | Marvin Holford | Counselor | 10470 Foothill Blvd Ste 116, Rancho Cucamonga, CA 91730-3754 | 2014-06-10 |
| 1124451307 | Sepideh Adhami | Psychologist | 10470 Foothill Blvd Ste 116, Rancho Cucamonga, CA 91730-3754 | 2013-08-12 |
| 1669734604 | Gunn Psychological Services, Inc. | Psychologist | 10470 Foothill Blvd Ste 116, Rancho Cucamonga, CA 91730-3754 | 2012-06-14 |
| 1427310937 | Gregory Crawford | Psychologist | 10470 Foothill Blvd Ste 116, Rancho Cucamonga, CA 91730 | 2012-06-11 |
| 1629205307 | Emin Gharibian | Clinical Neuropsychologist | 10470 Foothill Blvd Ste 116, Rancho Cucamonga, CA 91730 | 2009-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932722444 | Alliancerx Health Solutions, LLC. | Clinical Medical Laboratory | 9431 Haven Ave, Suite 100 #376, Rancho Cucamonga, CA 91730 | 2020-05-19 |
| 1346860194 | Wecare Dialysis Center | Clinic/Center | 8591 Grove Ave, Rancho Cucamonga, CA 91730 | 2020-04-22 |
| 1982235263 | Mel Latone Family Counseling, Inc. | Marriage & Family Therapist | 9033 Base Line Road, Suite M, Rancho Cucamonga, CA 91730 | 2020-01-27 |
| 1205471240 | Breena Nakamoto | Social Worker | 9645 Arrow Route, Building 5, Suite A, Rancho Cucamonga, CA 91730 | 2019-11-13 |
| 1497300180 | Laura Estela Le | Behavior Technician | 8350 Archilbald Ave Ste 110, Rancho Cucamonga, CA 91730 | 2019-08-08 |
| 1336792100 | Swan Psychological Services, Inc. | Psychologist | 8333 E. Foothill Blvd., Suite 109, Rancho Cucamonga, CA 91730 | 2019-07-22 |
| 1568023745 | Mariah Wright | Behavior Technician | 10532 Arcacia St, B-11, Rancho Cucamonga, CA 91730 | 2019-06-27 |
| 1770140378 | Amanda Ware | Clinic/Center | 9333 Fairway View Place Suite 101, Rancho Cucamonga, CA 91730 | 2019-05-20 |
| 1265995435 | Collaborative Autism Management Programs Inc. | Community/Behavioral Health | 9360 Santa Anita Ave Ste 104, Rancho Cucamonga, CA 91730 | 2019-04-12 |
| 1700361326 | Brittany Rhone | Behavioral Analyst | 933 Baseline Rd, Rancho Cucamonga, CA 91730 | 2018-09-28 |
| Find all providers in zip 91730 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588966469 | Jack Noel Lieberman | Clinical Neuropsychologist | 8508 Calle Carabe St, Rancho Cucamonga, CA 91730-1909 | 2010-11-26 |
| 1750928438 | Jacob Daniel Jones | Clinical Neuropsychologist | 10470 Foothill Blvd Ste 116, Rancho Cucamonga, CA 91730-3754 | 2019-12-02 |
| 1629205307 | Emin Gharibian | Clinical Neuropsychologist | 10470 Foothill Blvd Ste 116, Rancho Cucamonga, CA 91730 | 2009-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407455108 | Chelsea Vilinskas | Clinical Neuropsychologist | 2624 Larkey Ln, Walnut Creek, CA 94597-2439 | 2020-10-22 |
| 1417554049 | Andrea Alioto | Clinical Neuropsychologist | 247 San Carlos Ave, Redwood City, CA 94061-3518 | 2020-10-06 |
| 1265045975 | Well Psychology, Inc. | Clinical Neuropsychologist | 3525 Del Mar Heights Rd # 1881, San Diego, CA 92130-2199 | 2020-08-24 |
| 1922618917 | Alyssa Weakley | Clinical Neuropsychologist | Uc Davis Midtown Neurology Clinic, 3160 Folsom Blvd, Sacramento, CA 95816 | 2020-08-04 |
| 1437767399 | Ni Sun-suslow | Clinical Neuropsychologist | 220 Dickinson St # B, San Diego, CA 92103-2071 | 2020-07-16 |
| 1366061707 | Talia Rose Seider | Clinical Neuropsychologist | 760 Westwood Plz Ste 37-360b, Los Angeles, CA 90024-5055 | 2020-04-15 |
| 1699394270 | Colin Jarred Gallagher | Clinical Neuropsychologist | 760 Westwood Plz # C8-854, Los Angeles, CA 90095-8353 | 2020-04-13 |
| 1649807058 | Nicholas S. Thaler Phd A Psychological Corporation | Clinical Neuropsychologist | 1526 14th St Ste 109, Santa Monica, CA 90404-3320 | 2020-03-25 |
| 1447890116 | Hussah Alkharafi | Clinical Neuropsychologist | 2720 Neilson Way # 5701, Santa Monica, CA 90405-4060 | 2020-01-10 |
| 1609414788 | Linda Rice | Clinical Neuropsychologist | 617 Bluegrass St, Simi Valley, CA 93065-5460 | 2019-12-19 |
| Find all providers with the same taxonomy | ||||
| City | RANCHO CUCAMONGA |
| Zip Code | 91730 |
Please comment or provide details below to improve the information on VERDUGO PSYCHOLOGICAL ASSOCIATES.
| 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.