| Inlandpsych Redlands Inc | |
|
255 Terracina Blvd Suite 204 Redlands CA 92373-4870 | |
| (909) 798-1763 | |
| Not Available |
| Full Name | Inlandpsych Redlands Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 255 Terracina Blvd, Redlands, California |
| Authorized Official Name and Position | Geetha K. Paladugu (OWNER) |
| Authorized Official Contact | 9097981763 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Inlandpsych Redlands Inc 255 Terracina Blvd Suite 204 Redlands CA 92373-4870 Ph: (909) 798-1763 | Inlandpsych Redlands Inc 255 Terracina Blvd Suite 204 Redlands CA 92373-4870 Ph: (909) 798-1763 |
| NPI Number | 1053575738 |
|---|---|
| Provider Enumeration Date | 07/11/2008 |
| Last Update Date | 04/01/2009 |
| Medicare PECOS PAC ID | 0749337467 |
|---|---|
| Medicare Enrollment ID | O20090416000117 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053575738 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | A70692 (California) | Primary |
| Provider Name | Donna M Mann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083882773 PECOS PAC ID: 0446249379 Enrollment ID: I20040506001815 |
| Provider Name | Wadsworth H Murad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316909245 PECOS PAC ID: 7416927645 Enrollment ID: I20040727000652 |
| Provider Name | Geetha K Paladugu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538121470 PECOS PAC ID: 4183537079 Enrollment ID: I20090416000110 |
| Provider Name | Stephen W Zorn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962614008 PECOS PAC ID: 4880730928 Enrollment ID: I20091005000179 |
| Provider Name | John Paul Riesenman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609834936 PECOS PAC ID: 0840326260 Enrollment ID: I20100324001131 |
| Provider Name | Shyam A Kumbhani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124256904 PECOS PAC ID: 9133397367 Enrollment ID: I20110714000267 |
| Provider Name | Johannes C Ndlela |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699837898 PECOS PAC ID: 9739351545 Enrollment ID: I20111020000032 |
| Provider Name | Randy Michael Stinnett |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609917145 PECOS PAC ID: 7618133257 Enrollment ID: I20120725000664 |
| Provider Name | Esther R Youngman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225384217 PECOS PAC ID: 9032366588 Enrollment ID: I20120906000005 |
| Provider Name | Javier Martin Panameno Campos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255688032 PECOS PAC ID: 0345498390 Enrollment ID: I20120917000203 |
| Provider Name | Jonson J Lin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114101995 PECOS PAC ID: 4880772623 Enrollment ID: I20150211002217 |
| Provider Name | Susan G Irish-zelener |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952690737 PECOS PAC ID: 9739441544 Enrollment ID: I20180314001655 |
| Provider Name | Kelechi U Olukaikpe Ogom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710544242 PECOS PAC ID: 1355670118 Enrollment ID: I20190904003019 |
| Provider Name | Diane Marie Waters |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578775011 PECOS PAC ID: 4880021690 Enrollment ID: I20200217000994 |
| Provider Name | Jesus Quirarte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578803029 PECOS PAC ID: 7315365756 Enrollment ID: I20200916001600 |
| Provider Name | Annmarie Monroe Scott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558710061 PECOS PAC ID: 4284046764 Enrollment ID: I20201208001797 |
| Provider Name | Heather Nicole Hopkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487005260 PECOS PAC ID: 4284034620 Enrollment ID: I20210607002314 |
| Provider Name | Katarina Kucavikova-fillippelli |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225398324 PECOS PAC ID: 1456759877 Enrollment ID: I20211014001863 |
| Provider Name | Jennifer Nicole Ray |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811379506 PECOS PAC ID: 5597133785 Enrollment ID: I20221118001876 |
| Provider Name | Nnenna E Nwagbo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730714338 PECOS PAC ID: 7113382367 Enrollment ID: I20230424001067 |
| Provider Name | Karen Lynn Koskinen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356070502 PECOS PAC ID: 8022465087 Enrollment ID: I20231113002275 |
| Provider Name | Kelli Anne Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750070918 PECOS PAC ID: 4385092741 Enrollment ID: I20231122002558 |
| Provider Name | Christine Marie Loya |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1831210442 PECOS PAC ID: 6406208693 Enrollment ID: I20240124000508 |
| Provider Name | Mayra Iuisa Duarte |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1225090145 PECOS PAC ID: 4183069941 Enrollment ID: I20240302000003 |
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