DR. BETHANY R MAGNELLI (NPI# 1871718759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871718759 |
| Entity Type | Individual |
| Full Name | DR. BETHANY R MAGNELLI |
| Other Name | BETHANY RAINAUD |
| Credential | PSY.D |
| Practice Address |
630 E Rialto Ave San Bernardino CA 92408-1292 |
| Mailing Address |
6713 Indiana Ave Pmb #24 Riverside CA 92506-4263 |
| Practice Telephone | 9093860904 |
| Practice Fax Number | 9093860912 |
| Mailing Telephone | 9517562440 |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2012-07-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PSY 22581 | CA | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | MFT41649 | CA | Behavioral Health & Social Service Providers |
| Street Address |
630 E RIALTO AVE |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92408-1292 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588864821 | Jose T. Flores-lopez | Psychiatry & Neurology | 630 E Rialto Ave, San Bernardino, CA 92408-1292 | 2007-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073124681 | Valeria Armentilla Cecena | Student in an Organized Health Care Education/Training Program | 1950 Sunwest Ln., San Bernardino, CA 92408 | 2020-08-17 |
| 1588272066 | Horizon Therapy Services | Physical Therapist | 418 East Vanderbilt, San Bernardino, CA 92408 | 2020-07-21 |
| 1821627639 | Bl Anderson Medical Corporation | Emergency Medicine | 473 E Carnegie Dr., Ste 200, San Bernardino, CA 92408 | 2020-04-03 |
| 1922648104 | Infinite Hope Hospice Corp | Hospice Care, Community Based | 225 W Hospitality Ln Suite 305, San Bernardino, CA 92408 | 2020-01-15 |
| 1689210775 | Inland Empire Community Outreach Center | Counselor | 473 East Carnegie Drive, Suite 200, San Bernardino, CA 92408 | 2019-11-23 |
| 1992347801 | Care Marriage and Family Therapists, Inc. | Marriage & Family Therapist | 1881 Commercenter Drive E, Suite 232, San Bernardino, CA 92408 | 2019-10-11 |
| 1366084360 | Theraville Counseling Services, A Licensed Clinical Social Worker Corp | Social Worker | 155 W Hospitality Ln Ste 245, San Bernardino, CA 92408 | 2019-10-10 |
| 1548730419 | Adriana Alcaraz | Behavior Technician | 473 E Carnegie, Ste 200, San Bernardino, CA 92408 | 2018-12-04 |
| 1811467889 | Xavier J Molina-williams | Behavior Technician | 476 E Carnegie Drive, Ste 200, San Bernardino, CA 92408 | 2018-12-03 |
| 1780153148 | Gillian Washington | Behavior Technician | 473 E Carnegie Dr, Ste 200, Riverside, CA 92408 | 2018-11-15 |
| Find all providers in zip 92408 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578700050 | Stephanie Jefferson | Psychologist | 202 E Airport Dr, Suite 175, San Bernardino, CA 92408-3444 | 2009-01-20 |
| 1700095361 | David Vincent Chavez | Psychologist | 164 W Hospitality Ln Ste 1a, San Bernardino, CA 92408-3328 | 2007-05-21 |
| 1821044959 | Olatunji Ajibola | Psychologist | 1505 W Highland Ave Ste 16, San Bernardino, CA 92411-1215 | 2006-05-26 |
| 1518574920 | Diana Huang | Psychologist | 658 E Brier Dr Ste 200, San Bernardino, CA 92408-2847 | 2020-09-29 |
| 1780038042 | Borrego Community Health Foundation | Psychologist | 590 N D St, San Bernardino, CA 92401-1352 | 2016-04-22 |
| 1497172001 | Sarah Kathleen Wilkinson | Psychologist | 1881 Business Center Dr, Suite 11, San Bernardino, CA 92408-3465 | 2014-03-20 |
| 1154553758 | Debra Warner | Psychologist | 1963 N E St, San Bernardino, CA 92405-3919 | 2009-08-14 |
| 1588806715 | Paul A Greenwald | Psychologist | 674 E Brier Dr, San Bernardino, CA 92408-2800 | 2009-04-02 |
| 1922276542 | Alyce O Belford | Psychologist | 2080 S E St, Second Floor, San Bernardino, CA 92408-2706 | 2008-02-16 |
| 1679752406 | Judith Sandra Douglas | Psychologist | 1800 Medical Center Drive, Suite 300, San Bernardino, CA 92411 | 2007-10-29 |
| Find all providers in SAN BERNARDINO | ||||
| City | SAN BERNARDINO |
| Zip Code | 92408 |
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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.