MS. COLETTE DIANE SINCLAIR (NPI# 1093236481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093236481 |
| Entity Type | Individual |
| Full Name | MS. COLETTE DIANE SINCLAIR |
| Credential | MA, LEP |
| Practice Address |
511 Brookside Ave Redlands CA 92373-4611 |
| Practice Telephone | (951) 288-0380 |
| Mailing Telephone | 9512880380 |
| Enumeration Date | 2017-07-06 |
| Last Update Date | 2017-07-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | LEP3661 | CA | Behavioral Health & Social Service Providers |
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
LEP3661 | CA | Behavioral Health & Social Service Providers |
| N | 103TC1900X |
Psychologist Specialization: Counseling |
LEP3661 | CA | Behavioral Health & Social Service Providers |
| N | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
LEP3661 | CA | Behavioral Health & Social Service Providers |
| Street Address |
511 BROOKSIDE AVE |
| City | REDLANDS |
| State | CA |
| Zip Code | 92373-4611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588671432 | Pat M Beaupre | Psychologist | 511 Brookside Ave, Redlands, CA 92373-4611 | 2006-08-02 |
| 1801400833 | Flow Integrative PC | Internal Medicine | 511 Brookside Ave, Redlands, CA 92373-4611 | 2020-09-08 |
| 1134749880 | Paul V. Hoffman | Emergency Medical Technician, Basic | 511 Brookside Ave, Redlands, CA 92373-4611 | 2020-04-23 |
| 1487288395 | Retro Analysis, LLC | Emergency Medical Technician, Basic | 511 Brookside Ave, Redlands, CA 92373-4611 | 2020-02-29 |
| 1558844977 | Rachel L. Hoffman | Registered Nurse | 511 Brookside Ave, Redlands, CA 92373-4611 | 2018-09-11 |
| 1760709026 | Kyle C Kasner | Counselor | 511 Brookside Ave, Redlands, CA 92373-4611 | 2010-04-27 |
| 1639306780 | California Neuromedical Services, Inc. | Psychiatry & Neurology | 511 Brookside Ave, Suite # 102, Redlands, CA 92373-4611 | 2009-06-16 |
| 1073664488 | Kurt R Bickford | Psychologist | 511 Brookside Ave, Redlands, CA 92373-4611 | 2007-01-13 |
| 1528179751 | Alane Marie Samarza | Psychologist | 511 Brookside Ave, Redlands, CA 92373-4611 | 2006-08-31 |
| 1447361654 | Tracy J Covington | Psychologist | 511 Brookside Ave, Redlands, CA 92373-4611 | 2006-08-31 |
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|---|---|---|---|---|
| 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 |
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| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780050674 | Senior Wellness Dynamics, LLC | Psychologist | 183 Orange Park, Redlands, CA 92374-5543 | 2015-08-14 |
| 1629448394 | Senior Wellness Dynamics, Inc. | Psychologist | 183 Orange Park, Redlands, CA 92374-5543 | 2015-10-06 |
| 1659773646 | Xiaorui Chen | Psychologist | 26001 Redlands Blvd, Redlands, CA 92373-7762 | 2014-09-22 |
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| 1730706979 | Oak Forest Recovery Center, Inc. | Psychologist | 5655 Lindero Canyon Rd Ste 425, Westlake Village, CA 91362-4046 | 2020-07-04 |
| 1861016842 | Valley Harvest Church of Merced | Psychologist | 557 W 26th St, Merced, CA 95340-2825 | 2020-06-04 |
| 1629691993 | Franklin Clifford Wimberly | Psychologist | 10 Pleasant Walk, Aliso Viejo, CA 92656-4266 | 2020-05-21 |
| 1790325694 | Pacific Forensic Psychology Associates, Inc | Psychologist | 19230 Sonoma Highway, Building 200, Sonoma, CA 95476 | 2020-01-09 |
| 1386282762 | Danielle Wischenka | Psychologist | 155 E Campbell Ave Ste 219, Campbell, CA 95008-2062 | 2019-12-16 |
| 1528525326 | Sylvia Cary | Psychologist | 4650 Sepulveda Blvd Apt 201, Sherman Oaks, CA 91403-2462 | 2019-02-28 |
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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.