| Optum Behavioral Care Of California, P.c. | |
|
8300 Utica Ave Ste 245 Rancho Cucamonga CA 91730-3852 | |
| (909) 989-4055 | |
| Not Available |
| Full Name | Optum Behavioral Care Of California, P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 8300 Utica Ave Ste 245, Rancho Cucamonga, California |
| Authorized Official Name and Position | Chelsea N Humphrey (CEO) |
| Authorized Official Contact | 8602684152 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Optum Behavioral Care Of California, P.c. 67 Burnside Ave East Hartford CT 06108-3408 Ph: (860) 268-4152 | Optum Behavioral Care Of California, P.c. 8300 Utica Ave Ste 245 Rancho Cucamonga CA 91730-3852 Ph: (909) 989-4055 |
| NPI Number | 1417718297 |
|---|---|
| Provider Enumeration Date | 01/19/2024 |
| Last Update Date | 05/20/2024 |
| Certification Date | 05/20/2024 |
| Medicare PECOS PAC ID | 7810304375 |
|---|---|
| Medicare Enrollment ID | O20210329001988 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417718297 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Cindy M Engel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255560447 PECOS PAC ID: 0244483576 Enrollment ID: I20130116000384 |
| Provider Name | Sunday Adeyeye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649754292 PECOS PAC ID: 3678819034 Enrollment ID: I20190107002498 |
| Provider Name | Scott Ballinger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982125332 PECOS PAC ID: 8022342609 Enrollment ID: I20190702001244 |
| Provider Name | Michael B Cao |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205098068 PECOS PAC ID: 3779717673 Enrollment ID: I20200608001127 |
| Provider Name | Cassandra Pentzien |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144842212 PECOS PAC ID: 5294154225 Enrollment ID: I20200924002009 |
| Provider Name | Lauren H. Grawert |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508093543 PECOS PAC ID: 9436331139 Enrollment ID: I20221006001368 |
| Provider Name | Joshua C. Craig |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821601451 PECOS PAC ID: 0749642213 Enrollment ID: I20230815002948 |
| Provider Name | Glenda Paola Ramos |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326449273 PECOS PAC ID: 3375905862 Enrollment ID: I20230815004011 |
| Provider Name | Ashley Rediker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073122925 PECOS PAC ID: 5698138626 Enrollment ID: I20230824000319 |
| Provider Name | Aileen Arratoonian |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437341500 PECOS PAC ID: 3678937976 Enrollment ID: I20230919002518 |
| Provider Name | Colleen Casady |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497377071 PECOS PAC ID: 6709232325 Enrollment ID: I20231101003886 |
| Provider Name | Heather Rachelle Byrd |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1265121776 PECOS PAC ID: 8224487640 Enrollment ID: I20231211003137 |
| Provider Name | Melissa Stallard |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952034290 PECOS PAC ID: 9931558822 Enrollment ID: I20231218003696 |
| Provider Name | Andrew Jung |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1811658495 PECOS PAC ID: 5991156812 Enrollment ID: I20240104003355 |
| Provider Name | Sharon E Sanches |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1033531314 PECOS PAC ID: 5890146427 Enrollment ID: I20240109000911 |
| Provider Name | Adriana Lashon Rodriguez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1649513292 PECOS PAC ID: 6305297748 Enrollment ID: I20240110000658 |
| Provider Name | Laurie Hay |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1578601779 PECOS PAC ID: 6709237191 Enrollment ID: I20240110002525 |
| Provider Name | Peggy Danielle Norwood |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1164857165 PECOS PAC ID: 7810348919 Enrollment ID: I20240112000992 |
| Provider Name | Winnie M Fuzane |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1851426761 PECOS PAC ID: 7214389360 Enrollment ID: I20240115000515 |
| Provider Name | Marlene Lyvone Willis-akins |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1972988624 PECOS PAC ID: 4284086430 Enrollment ID: I20240123004211 |
| Provider Name | Larissa A Lucas |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1942642343 PECOS PAC ID: 8527401801 Enrollment ID: I20240205000971 |
| Provider Name | Jihan Victoria Judeh |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1871898064 PECOS PAC ID: 6002250057 Enrollment ID: I20240216004065 |
| Provider Name | Ruby Garcia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437722121 PECOS PAC ID: 5395180129 Enrollment ID: I20240301003187 |
| Provider Name | Tanya Naomi Andino |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1124278916 PECOS PAC ID: 8123465176 Enrollment ID: I20240326002087 |
| Provider Name | Rosa Ana Barraza |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982044004 PECOS PAC ID: 7416480934 Enrollment ID: I20241023000383 |
| Provider Name | Damon Christopher Corgiat |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1205223849 PECOS PAC ID: 4880128263 Enrollment ID: I20241107001247 |
| Provider Name | Deonae Sheree Shackelford-mcmillian |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497014666 PECOS PAC ID: 7113451196 Enrollment ID: I20241113002688 |
| Provider Name | Adam Zachary Chester |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1962109223 PECOS PAC ID: 8123552064 Enrollment ID: I20241114001342 |
| Provider Name | Elizabeth Serrano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053830232 PECOS PAC ID: 6305370115 Enrollment ID: I20241114004521 |
| Provider Name | Jeffery Edward Havig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710414875 PECOS PAC ID: 6305371063 Enrollment ID: I20241119001616 |
| Provider Name | Katie Miranda Scott |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1386359867 PECOS PAC ID: 3870028400 Enrollment ID: I20241120000131 |
| Provider Name | Jonathan Flannes |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1689071300 PECOS PAC ID: 1850827320 Enrollment ID: I20241206001779 |
Steve Wysocki, Ph.d., Pc Dba Alta Loma Psychological Assoc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9089 Baseline Rd., #200, Rancho Cucamonga, CA 91730 Phone: 909-980-3567 Fax: 909-989-3932 | |
Nicole Serrano Licensed Marriage Family Therapist Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10601 Civic Center Dr Ste 120c, Rancho Cucamonga, CA 91730 Phone: 909-300-5746 | |
Dr Denise Persichino Do Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10737 Laurel St Ste 230, Rancho Cucamonga, CA 91730 Phone: 909-435-0899 | |
West End Family Counseling Service Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9445 Fairway View Pl Ste 100, Rancho Cucamonga, CA 91730 Phone: 909-983-2020 Fax: 909-983-6847 | |
Verdugo Psychological Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10470 Foothill Blvd Ste 116, Rancho Cucamonga, CA 91730 Phone: 909-989-4055 | |