DR. MAYA BOUSTANI


Address: 5441 Dundee Ct, Rancho Cucamonga, CA 91739-2604
Phone: 3057335141

DR. MAYA BOUSTANI (NPI# 1730795634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730795634
Entity Type Individual
Full Name DR. MAYA BOUSTANI
Credential PHD
Practice Address 5441 Dundee Ct
Rancho Cucamonga
CA 91739-2604
Practice Telephone 3057335141
Mailing Telephone 3057335141
Enumeration Date 2020-09-17
Last Update Date 2020-10-05
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
3038 CA Behavioral Health & Social Service Providers

Office Location

Street Address 5441 DUNDEE CT
City RANCHO CUCAMONGA
State CA
Zip Code 91739-2604

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1548787542 Carla Hibet Castillo Counselor 7165 Etiwanda Ave, Rancho Cucamonga, CA 91739 2017-08-29
1598282428 Yung Chun Chen Dentist 12453 Royal Oaks Dr., Montclair, CA 91739 2017-08-22
1508386806 Emily Rose Marlen Counselor 845 E. Arrow Highway, Pomona, CA 91739 2017-06-27
1124384540 Ameerah Rasheedah-bonner Mcmann Marriage & Family Therapist 8481 Etiwanda Avenue, Apartment G, Rancho Cucamonga, CA 91739 2012-04-10
1679866784 Bodylogics Health Services Inc. Rehabilitation Practitioner 12730 Foothill Blvd., Unit 102, Rancho Cucamonga, CA 91739 2011-05-23
1801196027 Lisa Louise Hazelwood Psychologist 9500 Etiwanda Ave., West Valley Detention Center, Attn: Medical Srvcs/liberty Roc, Rancho Cucamonga, CA 91739 2010-10-22
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336659002 Abs Psychology Services California Psychologist 9600 Center Ave Ste 160, Rancho Cucamonga, CA 91730-5838 2017-10-06
1699187906 Laura Thoreson Psychologist 11100 4th St Apt G301, Rancho Cucamonga, CA 91730-0908 2014-05-21
1518398296 David Nelson Psychologist 10950 Church St Apt 312, Rancho Cucamonga, CA 91730-8063 2013-12-06
1801196027 Lisa Louise Hazelwood Psychologist 9500 Etiwanda Ave., West Valley Detention Center, Attn: Medical Srvcs/liberty Roc, Rancho Cucamonga, CA 91739 2010-10-22
1891810438 Aurelio Enriquez Jr. Psychologist 9330 Baseline Rd Ste 108, Rancho Cucamonga, CA 91701-5827 2007-03-20
1396801304 James A Grace Psychologist 10630 Town Center Drive, Suite #124, Rancho Cucamonga, CA 91730 2006-12-28
1952417289 Martha Cecilia Masson Psychologist 9330 Base Line Road, Suite 103, Rancho Cucamonga, CA 91701-5827 2006-08-21
1174569453 Richard Ettelson Psychologist 10630 Town Center Dr Ste 120, Rancho Cucamonga, CA 91730-6889 2006-06-22
1265405195 Geralyn Marie Phillips Psychologist 8439 White Oak Ave, #104, Rancho Cucamonga, CA 91730-3860 2006-02-10
1487633616 Georgina Ines Lamphere Sullivan Psychologist 8253 White Oak Ave, Rancho Cucamonga, CA 91730-7671 2006-01-16
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Competitor

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City RANCHO CUCAMONGA
Zip Code 91739

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Dataset Information

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.

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