INLAND PSYCHIATRIC MEDICAL GROUP, INC. (NPI# 1649217761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649217761 |
| Entity Type | Organization |
| Organization Name | INLAND PSYCHIATRIC MEDICAL GROUP, INC. |
| Practice Address |
1809 W Redlands Blvd Redlands CA 92373-8054 |
| Practice Telephone | 9093353026 |
| Practice Fax Number | 9093353167 |
| Mailing Telephone | 9093071320 |
| Mailing Fax Number | 9097986147 |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2019-09-10 |
| Authorized Official Name | DR. SYAM P KUNAM (CEO) |
| Authorized Official Telephone | 9093353026 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487205506 | Inland Psychiatric Medical Group, Inc. | Psychologist | 4049 Brockton Ave, Riverside, CA 92501-3440 | 2019-09-20 |
| 1841853330 | Inland Psychiatric Medical Group, Inc. | Marriage & Family Therapist | 2372 Sterling Ave, San Bernardino, CA 92404-4624 | 2019-04-19 |
| 1538695770 | Inland Psychiatric Medical Group, Inc. | Psychologist | 1800 Medical Center Dr, Suite 300, San Bernardino, CA 92411-1218 | 2017-05-09 |
| 1346774445 | Inland Psychiatric Medical Group, Inc. | Psychologist | 24432 Muirlands Blvd, Sutie 131, Lake Forest, CA 92630-3939 | 2017-04-14 |
| 1205294931 | Inland Psychiatric Medical Group, Inc. | Psychologist | 1652 W Avenue J, Lancaster, CA 93534-2814 | 2016-02-09 |
| 1588091169 | Inland Psychiatric Medical Group, Inc. | Nurse Practitioner | 16279 Walnut St, Hesperia, CA 92345-3622 | 2013-09-27 |
| 1275824369 | Inland Psychiatric Medical Group, Inc. | Psychologist | 1809 W Redlands Blvd, Redlands, CA 92373-8054 | 2011-04-25 |
| 1982740163 | Inland Psychiatric Medical Group, Inc. | Psychologist | 1001 E Latham Ave, Suite A, Hemet, CA 92543-4435 | 2007-01-29 |
| 1164568341 | Inland Psychiatric Medical Group, Inc. | Psychologist | 101 E Redlands Blvd, Sutie 215, Redlands, CA 92373-4775 | 2007-01-29 |
| 1427104116 | Inland Psychiatric Medical Group, Inc. | Psychologist | 23110 Atlantic Cir Ste F, Moreno Valley, CA 92553-5920 | 2007-01-26 |
| Street Address |
1809 W REDLANDS BLVD |
| City | REDLANDS |
| State | CA |
| Zip Code | 92373-8054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578525499 | Syam P Kunam | Psychiatry & Neurology | 1809 W Redlands Blvd, Redlands, CA 92373-8054 | 2006-04-05 |
| 1144867409 | Marilyn Loretta Tidwell -shoemaker | Nurse Practitioner | 1809 W Redlands Blvd, Redlands, CA 92373-8054 | 2019-12-05 |
| 1710544242 | Kelechi Ugonna Olukaikpe Ogom | Nurse Practitioner | 1809 W Redlands Blvd, Redlands, CA 92373-8054 | 2019-05-21 |
| 1700382512 | Cajon Medical Group PC | Internal Medicine | 1809 W Redlands Blvd, Redlands, CA 92373-8054 | 2018-04-02 |
| 1326547183 | Cajon Medical Group PC | Internal Medicine | 1809 W Redlands Blvd, Redlands, CA 92373-8054 | 2018-02-07 |
| 1639696412 | Archis Desai Md, Inc. | Internal Medicine | 1809 W Redlands Blvd, Redlands, CA 92373-8054 | 2017-08-23 |
| 1093185035 | Victoria Dubois | Social Worker | 1809 W Redlands Blvd, Redlands, CA 92373-8054 | 2015-10-02 |
| 1396141230 | Archis Desai | Internal Medicine | 1809 W Redlands Blvd, Redlands, CA 92373-8054 | 2014-11-04 |
| 1871994970 | Kristina Marie Mitchell | Marriage & Family Therapist | 1809 W Redlands Blvd, Redlands, CA 92373-8054 | 2014-09-08 |
| 1780098772 | Vanessa Ramsdell | Counselor | 1809 W Redlands Blvd, Redlands, CA 92373-8054 | 2014-06-17 |
| 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 | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114269685 | Neelima Kunam | Psychiatry & Neurology | 1809 W Redlands Blvd Ste 103, Redlands, CA 92373-8054 | 2013-03-22 |
| 1609168897 | Mina Youssef | Psychiatry & Neurology | 26325 Snowden Ave, Redlands, CA 92374 | 2011-05-06 |
| 1982800033 | Chadwick Burgdorff | Psychiatry & Neurology | 1540 Barton Rd Ste 101, Redlands, CA 92373-5439 | 2007-06-25 |
| 1760516439 | Stephen Edward Salenger | Psychiatry & Neurology | 12606 Valley View Ln, Redlands, CA 92373-7464 | 2007-03-15 |
| 1740349307 | Nenita C. Belen | Psychiatry & Neurology | 1809 W. Redlands Boulevard, Redlands, CA 92373-6720 | 2006-12-08 |
| 1790709095 | Stephanie Lauralynn Bolton | Psychiatry & Neurology | 1686 Barton Rd Ste D, Redlands, CA 92373-1489 | 2006-07-27 |
| 1275565533 | Faculty Physicians and Surgeons of Llusm | Psychiatry & Neurology | 1710 Barton Rd, Redlands, CA 92373-5304 | 2006-07-07 |
| 1629020169 | Taghi Malekzadeh | Psychiatry & Neurology | 1732 Morning Dove Ln, Redlands, CA 92373-4315 | 2006-05-16 |
| 1609834936 | John Paul Riesenman | Psychiatry & Neurology | 255 Terracina Blvd Ste 204, Redlands, CA 92373-4870 | 2006-05-03 |
| 1578525499 | Syam P Kunam | Psychiatry & Neurology | 1809 W Redlands Blvd, Redlands, CA 92373-8054 | 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.