| Foothills Psychological Services, Inc. | |
|
954 W Foothill Blvd Ste A Upland CA 91786-3782 | |
| (909) 946-4222 | |
| Not Available |
| Full Name | Foothills Psychological Services, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 954 W Foothill Blvd Ste A, Upland, California |
| Authorized Official Name and Position | Kirtrina Jones (CREDENTIALING SUPERVISOR) |
| Authorized Official Contact | 9099464222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Foothills Psychological Services, Inc. 954 W Foothill Blvd Ste A Upland CA 91786-3782 Ph: (909) 946-4222 | Foothills Psychological Services, Inc. 954 W Foothill Blvd Ste A Upland CA 91786-3782 Ph: (909) 946-4222 |
| NPI Number | 1336121888 |
|---|---|
| Provider Enumeration Date | 11/18/2005 |
| Last Update Date | 02/09/2024 |
| Certification Date | 02/09/2024 |
| Medicare PECOS PAC ID | 9436157534 |
|---|---|
| Medicare Enrollment ID | O20100318000835 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336121888 | NPI | - | NPPES |
| CH4516 | Other | CA | RAILROAD GROUP ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| Provider Name | Patricia M Powell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851467617 PECOS PAC ID: 5597752048 Enrollment ID: I20040427001645 |
| Provider Name | Hitesh C Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902833734 PECOS PAC ID: 3577537075 Enrollment ID: I20040820000988 |
| Provider Name | Travis D Fultz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831171388 PECOS PAC ID: 4486621596 Enrollment ID: I20040916000550 |
| Provider Name | Alan Markie |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861475337 PECOS PAC ID: 8123086857 Enrollment ID: I20041228000990 |
| Provider Name | Gerald R Duprez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760462105 PECOS PAC ID: 6406886118 Enrollment ID: I20050812000536 |
| Provider Name | Edmund Young |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497836670 PECOS PAC ID: 2769492917 Enrollment ID: I20060502000693 |
| Provider Name | Robert B Gordon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528041654 PECOS PAC ID: 3274531389 Enrollment ID: I20061128000639 |
| Provider Name | Frederick Chu |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619950748 PECOS PAC ID: 4880692995 Enrollment ID: I20061129000265 |
| Provider Name | Terry L Chase |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447234679 PECOS PAC ID: 9436157542 Enrollment ID: I20061129000273 |
| Provider Name | Joshua K Koh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871609271 PECOS PAC ID: 6901968288 Enrollment ID: I20081219000525 |
| Provider Name | Jennifer M Reed |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184858250 PECOS PAC ID: 4981755527 Enrollment ID: I20090622000642 |
| Provider Name | Sarabjit Singh Sandhu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144287186 PECOS PAC ID: 7517959075 Enrollment ID: I20090707000610 |
| Provider Name | Richard K Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982781084 PECOS PAC ID: 3577625219 Enrollment ID: I20090722000184 |
| Provider Name | Ronald G Huston |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215193198 PECOS PAC ID: 6800936139 Enrollment ID: I20091217000645 |
| Provider Name | Anthony Shin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982628756 PECOS PAC ID: 6608832035 Enrollment ID: I20110228000453 |
| Provider Name | Thomas D Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275817322 PECOS PAC ID: 1759554470 Enrollment ID: I20111025000476 |
| Provider Name | Thomas A Woodbury |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609878115 PECOS PAC ID: 1850295197 Enrollment ID: I20120120000521 |
| Provider Name | John Quinlan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821363896 PECOS PAC ID: 6608038674 Enrollment ID: I20120509000202 |
| Provider Name | Vanessa C Perez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467616151 PECOS PAC ID: 8325283641 Enrollment ID: I20130314000223 |
| Provider Name | Edward A Santiago |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770921058 PECOS PAC ID: 6507907946 Enrollment ID: I20140714000008 |
| Provider Name | Edward Pflaumer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801084561 PECOS PAC ID: 8123249786 Enrollment ID: I20141023001048 |
| Provider Name | Debra A George-barber |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801047675 PECOS PAC ID: 7012902661 Enrollment ID: I20150202000573 |
| Provider Name | Alejandra Perez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184807943 PECOS PAC ID: 9234454760 Enrollment ID: I20150204001630 |
| Provider Name | Sandra Quezada |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215245444 PECOS PAC ID: 2163740812 Enrollment ID: I20150409002081 |
| Provider Name | Sheila B. Hays |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497977110 PECOS PAC ID: 5991024416 Enrollment ID: I20150507002113 |
| Provider Name | Dorothy Nguyen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639312614 PECOS PAC ID: 7315252970 Enrollment ID: I20150812006956 |
| Provider Name | Damian Robledo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376831289 PECOS PAC ID: 3577879873 Enrollment ID: I20150901002596 |
| Provider Name | Rachel C Caudillo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659418283 PECOS PAC ID: 9436454055 Enrollment ID: I20160219000601 |
| Provider Name | Christine B Cardenas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457658262 PECOS PAC ID: 0446556542 Enrollment ID: I20160316001483 |
| Provider Name | William D Glasser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730500620 PECOS PAC ID: 1254623382 Enrollment ID: I20160711002427 |
| Provider Name | Nyshae C Duckett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366868598 PECOS PAC ID: 3072806884 Enrollment ID: I20160801000496 |
| Provider Name | Lisa N Von Zabern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952845372 PECOS PAC ID: 5698051795 Enrollment ID: I20170403002459 |
| Provider Name | Jennifer E Villalba |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225178353 PECOS PAC ID: 4880971530 Enrollment ID: I20170905003468 |
| Provider Name | David J Melarkey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699186502 PECOS PAC ID: 8820363195 Enrollment ID: I20171012001771 |
| Provider Name | Jonathan David Perlman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144747122 PECOS PAC ID: 4486913092 Enrollment ID: I20180104001786 |
| Provider Name | Jessica M Roberts |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639473853 PECOS PAC ID: 3971863127 Enrollment ID: I20180207001901 |
| Provider Name | Michelle I Garza-rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902926587 PECOS PAC ID: 8022379817 Enrollment ID: I20180216002329 |
| Provider Name | Maura Kane Mcauliffe |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144737842 PECOS PAC ID: 4789945536 Enrollment ID: I20180222002223 |
| Provider Name | Melissa F Mischka |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730496183 PECOS PAC ID: 3870854029 Enrollment ID: I20180302001491 |
| Provider Name | Dante D Millon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528354628 PECOS PAC ID: 4082978689 Enrollment ID: I20180508000552 |
| Provider Name | Dustin M Arnold |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366921900 PECOS PAC ID: 1153674239 Enrollment ID: I20181019002315 |
| Provider Name | Landon Martin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750517652 PECOS PAC ID: 0446504005 Enrollment ID: I20181116002116 |
| Provider Name | Jeshana Avent-johnson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548747108 PECOS PAC ID: 1153675590 Enrollment ID: I20181121000675 |
| Provider Name | Rachel Medina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275010241 PECOS PAC ID: 9537403241 Enrollment ID: I20181206003632 |
| Provider Name | Yuri Villaruel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134667231 PECOS PAC ID: 6103160528 Enrollment ID: I20181211003292 |
| Provider Name | Stacey A Tobie |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437435252 PECOS PAC ID: 2163768375 Enrollment ID: I20190109001294 |
| Provider Name | Susan D Montoya-bell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144790890 PECOS PAC ID: 2163768177 Enrollment ID: I20190112000077 |
| Provider Name | Sarah M Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528532603 PECOS PAC ID: 8426396656 Enrollment ID: I20190214000645 |
| Provider Name | Emily A Morton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316231756 PECOS PAC ID: 3870831803 Enrollment ID: I20190215002289 |
| Provider Name | Ethel U Antonio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386778967 PECOS PAC ID: 5294074860 Enrollment ID: I20190226000465 |
| Provider Name | Michael E Geraghty |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114491545 PECOS PAC ID: 9739421611 Enrollment ID: I20190424001806 |
| Provider Name | Eric M Bahra |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053887117 PECOS PAC ID: 9638402522 Enrollment ID: I20190607001665 |
| Provider Name | Shareela M Allen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578793337 PECOS PAC ID: 4284964073 Enrollment ID: I20190920000966 |
| Provider Name | Michael Christian Solano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609094945 PECOS PAC ID: 5991138877 Enrollment ID: I20191206001433 |
| Provider Name | Amelle Joseph Baptiste Porter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952946956 PECOS PAC ID: 9032545439 Enrollment ID: I20200203002389 |
| Provider Name | Tashana Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497134688 PECOS PAC ID: 8426460114 Enrollment ID: I20201222002441 |
| Provider Name | Kendal D Martindale |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235672551 PECOS PAC ID: 2769895572 Enrollment ID: I20210114002399 |
| Provider Name | Ashley Cabadas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902218589 PECOS PAC ID: 1850709452 Enrollment ID: I20210420002530 |
| Provider Name | Tanisha L Pitre |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700925328 PECOS PAC ID: 8325457567 Enrollment ID: I20210429001648 |
| Provider Name | Ramiro A Trujillo Castro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306159686 PECOS PAC ID: 9133529076 Enrollment ID: I20210614002644 |
| Provider Name | Joseph Mcdonnell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265105902 PECOS PAC ID: 7214328368 Enrollment ID: I20211227001386 |
| Provider Name | Yalittza Reyna |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831487669 PECOS PAC ID: 8729470315 Enrollment ID: I20220111000663 |
| Provider Name | Maritza Pelayo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083167589 PECOS PAC ID: 5092193581 Enrollment ID: I20220613002113 |
| Provider Name | Chomya F Oo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609510130 PECOS PAC ID: 9436538303 Enrollment ID: I20220623001019 |
| Provider Name | Jana M Given |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992381206 PECOS PAC ID: 9638552102 Enrollment ID: I20220816001435 |
| Provider Name | Naysan B Malakouti-nejad |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558804450 PECOS PAC ID: 0941678270 Enrollment ID: I20221117002170 |
| Provider Name | Khanh N Mai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659869188 PECOS PAC ID: 6901275981 Enrollment ID: I20221214000737 |
| Provider Name | Sophie Schmell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841957800 PECOS PAC ID: 2668842733 Enrollment ID: I20230105002612 |
| Provider Name | Brianna T Subero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932646619 PECOS PAC ID: 5294181699 Enrollment ID: I20231020001834 |
| Provider Name | Judy L Canales |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790945715 PECOS PAC ID: 8628420205 Enrollment ID: I20240118004418 |
| Provider Name | Gary D Slaton |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1336367564 PECOS PAC ID: 3375986532 Enrollment ID: I20240205004258 |
| Provider Name | Lance T Espiritu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831966746 PECOS PAC ID: 1557701513 Enrollment ID: I20240424004116 |
| Provider Name | Marian A Gayed |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1588225460 PECOS PAC ID: 6507209756 Enrollment ID: I20240510000833 |
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White Stone Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 818 N Mountain Ave Ste 219, Upland, CA 91786 Phone: 909-331-8433 Fax: 909-608-1804 | |
Biomedrx Health Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 916 N Mountain Ave Ste D1, Upland, CA 91786 Phone: 909-608-2880 | |
Upland Unified School District Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 5th Ave, Upland, CA 91786 Phone: 909-949-6526 Fax: 909-949-7809 | |
Be Authentic Family Therapy Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2335 W Foothill Blvd Ste 11, Upland, CA 91786 Phone: 909-618-0257 |