QUALITY LIFE PSYCHIATRIC & PSYCHOLOGICAL GROUP, INC. (NPI# 1952478596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952478596 |
| Entity Type | Organization |
| Organization Name | QUALITY LIFE PSYCHIATRIC & PSYCHOLOGICAL GROUP, INC. |
| Practice Address |
6529 Riverside Ave Suite 133 Riverside CA 92506-3122 |
| Practice Telephone | 9516842627 |
| Practice Fax Number | 9517885837 |
| Mailing Telephone | 9516842627 |
| Mailing Fax Number | 9517885837 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2012-06-28 |
| Authorized Official Name | DR. RICHARD T KOTOMORI JR. (CEO) |
| Authorized Official Telephone | 9516842627 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
A30827 | CA | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
A41330 | CA | Allopathic & Osteopathic Physicians |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
PSY 9633 | CA | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | MFT 18385 | CA | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | PSY19090 | CA | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | PSY8086 | CA | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | MFC39054 | CA | Behavioral Health & Social Service Providers |
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
A60376 | CA | Allopathic & Osteopathic Physicians |
| N | 106H00000X | Marriage & Family Therapist | MFC 40326 | CA | Behavioral Health & Social Service Providers |
| Street Address |
6529 RIVERSIDE AVE SUITE 133 |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92506-3122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023249703 | Heather Anne Schaefer | Marriage & Family Therapist | 6529 Riverside Ave, Suite 133, Riverside, CA 92506-3122 | 2009-07-29 |
| 1386883106 | Emma Girard | Psychologist | 6529 Riverside Ave, Suite 133, Riverside, CA 92506-3122 | 2009-02-18 |
| 1043405434 | Bernadette Woods | Physical Therapist | 6529 Riverside Ave, Suite 140, Riverside, CA 92506-3122 | 2007-09-10 |
| 1710181326 | Bernadette Woods | Physical Therapist | 6529 Riverside Ave, Suite 140, Riverside, CA 92506-3122 | 2007-06-14 |
| 1215059084 | Richard Tsukasa Kotomori | Psychiatry & Neurology | 6529 Riverside Ave, Suite 133, Riverside, CA 92506-3122 | 2007-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902405715 | Riverside Primary Care Clinic, Joanna Ayala Md | Clinic/Center | 3978 Merrill Ave, Riverside, CA 92506 | 2020-10-22 |
| 1336747005 | Beatriz Arredondo | Behavioral Analyst | 6117 Brockton Avenue Ste. 202, Riverside, CA 92506 | 2020-10-14 |
| 1740756782 | Priscilla Marie Rodriguez | Social Worker | 3742 Tibbets St Suite 201, Riverside, CA 92506 | 2018-10-17 |
| 1922593946 | Prevail Health Solutions, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 7450 Chateau Ridge Ln, Riverside, CA 92506 | 2018-06-22 |
| 1831691880 | Mckinley Children's Center | Community/Behavioral Health | 6700 Indiana Avenue, Suite 280, Riverside, CA 92506 | 2018-03-06 |
| 1720590946 | Leticia Dilworth | Behavioral Analyst | 3610 Central Ave Ste 46, Riverside, CA 92506 | 2017-10-27 |
| 1548771736 | Usa Biosciences LLC | Clinical Medical Laboratory | 5750 Division St Ste 109, Riverside, CA 92506 | 2017-10-16 |
| 1922542273 | Yazmar Sevilla-perez | Physical Therapist | 6852 Brockton Ave., Suite 212, Riverside, CA 92506 | 2016-12-06 |
| 1821547605 | Pathway To Healing, Marriage and Family Therapy, Inc. | Marriage & Family Therapist | 5790 Magnolia Ave., Ste 202, Rm F, Riverside, CA 92506 | 2016-09-22 |
| 1952857542 | Kramer and Nguyen Dental Corporation | Dentist | 3602 Riverside Plaza Dr, Ste 101, Riverside, CA 92506 | 2016-09-01 |
| Find all providers in zip 92506 | ||||
| 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 |
|---|---|---|---|---|
| 1609430420 | Sundermd & Associates, P.C. | Psychiatry & Neurology | 5700 Division St Ste B, Riverside, CA 92506-3257 | 2019-04-26 |
| 1104349190 | Kevin Simonson | Psychiatry & Neurology | 9990 County Farm Rd Ste 4, Riverside, CA 92503-3542 | 2017-07-20 |
| 1033505813 | Monish Parmar | Psychiatry & Neurology | Uc Riverside Som Psychiatry, 14350-2 Meridian Parkway, Riverside, CA 92518 | 2015-04-08 |
| 1992102990 | Khai Nguyen | Psychiatry & Neurology | 14350 Meridian Pkwy, Riverside, CA 92518-3035 | 2014-11-19 |
| 1588901219 | Gordon Vincent Brion | Psychiatry & Neurology | 3900 Sherman Way, Attn: Mvt Program, Riverside, CA 90253 | 2013-01-15 |
| 1508125733 | John David Lii | Psychiatry & Neurology | 3398 Utah St, Riverside, CA 92507 | 2012-05-08 |
| 1588841902 | Jonathan Lam Yuen Watt | Psychiatry & Neurology | 5225 Canyon Crest Dr Bldg 100, Suite 103, Riverside, CA 92507-6301 | 2008-01-28 |
| 1508906181 | Ellison Chang | Psychiatry & Neurology | 9990 County Farm Rd # S-3, S-3, Riverside, CA 92503-3542 | 2007-02-06 |
| 1093873978 | Terry P Petersen | Psychiatry & Neurology | 9890 County Farm Rd Ste 1, Riverside, CA 92503-3505 | 2006-12-04 |
| 1396829826 | Andrew Jonathan Rooks | Psychiatry & Neurology | 3579 Arlington Ave, Ste 700, Riverside, CA 92506 | 2006-10-24 |
| Find all providers in RIVERSIDE | ||||
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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.