THE NEW MIND WHOLE PERSON PSYCHOLOGICAL CARE INC (NPI# 1538604699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538604699 |
| Entity Type | Organization |
| Organization Name | THE NEW MIND WHOLE PERSON PSYCHOLOGICAL CARE INC |
| Practice Address |
114 N Indian Hill Blvd Suite B Claremont CA 91711-4675 |
| Practice Telephone | 9096039300 |
| Practice Fax Number | 9096039301 |
| Mailing Telephone | 9096039300 |
| Mailing Fax Number | 9096039301 |
| Enumeration Date | 2016-12-28 |
| Last Update Date | 2018-03-01 |
| Authorized Official Name | DR. DENNIS W. WALLSTROM (CLINICAL PSYCHOLOGIST) |
| Authorized Official Telephone | 9096039300 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY13058 | CA | Behavioral Health & Social Service Providers |
| Street Address |
114 N INDIAN HILL BLVD SUITE B |
| City | CLAREMONT |
| State | CA |
| Zip Code | 91711-4675 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578605747 | Foothill Speech & Language Services, Inc. | Speech-Language Pathologist | 114 N Indian Hill Blvd, Claremont, CA 91711-4675 | 2007-02-13 |
| 1598189847 | Pyongduk Yang | Acupuncturist | 114 N Indian Hill Blvd, Claremont, CA 91711-4675 | 2014-02-06 |
| 1588874465 | Jo Ann Mann | Speech-Language Pathologist | 114 N Indian Hill Blvd, Claremont, CA 91711-4675 | 2007-05-22 |
| 1720296122 | Marybeth Keith Chenoweth | Speech-Language Pathologist | 114 N Indian Hill Blvd, Claremont, CA 91711-4675 | 2007-05-18 |
| 1881802221 | Amber Marlene Hall | Speech-Language Pathologist | 114 N Indian Hill Blvd, Claremont, CA 91711-4675 | 2007-05-18 |
| 1275746679 | Michele Altman Wagman | Speech-Language Pathologist | 114 N Indian Hill Blvd, Claremont, CA 91711-4675 | 2007-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659919132 | Suzanne Kathryn Wen | Physical Therapist | 224 North Indian Hill Bvld, Claremont, CA 91711 | 2019-12-16 |
| 1336790690 | Angelita M Sherzada | Social Worker | 250 W. First Street, 242, Claremont, CA 91711 | 2019-09-26 |
| 1629560602 | Patricia L Sellers | Marriage & Family Therapist | 220 S Indian Hill Boulevard, Suite E, Claremont, CA 91711 | 2018-06-05 |
| 1477078418 | Geiselia Thomas | Chore Provider | 519 Martin Way, Claremont, CA 91711 | 2017-08-10 |
| 1750804464 | Vasudavan Govindasamy | Speech-Language Pathologist | 1490 North Claremont Blvd Suite 101, Claremont, CA 91711 | 2017-07-25 |
| 1669850103 | Drpaulolivera | Dentist | 450wsanjose, Claremont, CA 91711 | 2015-05-18 |
| 1003204504 | Alexandra Jordan Bandy | Nurse Practitioner | 530 W. Bonita Ave, Claremont, CA 91711 | 2015-01-06 |
| 1437571379 | Susan Clayton Zylstra | Speech-Language Pathologist | 842 Knox Place, Claremont, CA 91711 | 2014-01-13 |
| 1255671053 | Misty Anne Rogers | Acupuncturist | 689 W. Foothill Blvd., Suite D, Claremont, CA 91711 | 2013-02-15 |
| 1629364161 | Lu Tian | Acupuncturist | 250 W. First Street #112, Claremont, CA 91711 | 2011-06-23 |
| Find all providers in zip 91711 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295242519 | Chaye' A Dialo | Psychologist | 1490 N Claremont Blvd Ste 202, Claremont, CA 91711-3519 | 2018-01-09 |
| 1801235106 | Janiel Henry | Psychologist | 114 N Indian Hill Blvd Ste B, Claremont, CA 91711-4642 | 2013-06-19 |
| 1982965471 | Jessica Borelli | Psychologist | 647 N College Way, Claremont, CA 91711-4440 | 2012-05-31 |
| 1588935100 | Norman Ray Bentson | Psychologist | 112 Harvard Ave # 3, Claremont, CA 91711-4716 | 2012-01-13 |
| 1447540299 | Bonny Shapin | Psychologist | 415 W Foothill Blvd Ste 212, Claremont, CA 91711-2780 | 2011-04-13 |
| 1467678755 | Thomas Gary Amberson | Psychologist | 419 Yale Ave, Thomas G Amberson Psyd, Claremont, CA 91711-4340 | 2007-04-17 |
| 1285755066 | Valerie B Jordan | Psychologist | 219 N Indian Hill Blvd Ste 202a, Claremont, CA 91711-4644 | 2007-04-02 |
| 1912027673 | Christine D. Scher | Psychologist | 250 W 1st St Ste 352, Claremont, CA 91711-4744 | 2007-03-29 |
| 1801939731 | Olga Gabriela Castillo | Psychologist | 250 W 1st St Ste 312, Claremont, CA 91711-4740 | 2007-02-14 |
| 1548313240 | Christopher Earl Ebbe | Psychologist | 943 Scripps Dr, Claremont, CA 91711-2539 | 2007-01-18 |
| Find all providers in CLAREMONT | ||||
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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.