Individual provider Active NPI

Cortney Twila Winters, LPT

  • Licensed Psychiatric Technician
  • San Bernardino, CA
National Provider Identifier
1033540091
Registry record updated Nov 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Psychiatric TechnicianTaxonomy code 167G00000X
License
38273 Issued in CA
Practice address
600 N Arrowhead Ave
San Bernardino, CA 92401-1164
Phone
(909) 963-5355
NPI assigned
Dec 2, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Psychiatric Technician 167G00000X PT 38273 CA
Licensed Psychiatric Technician 167G00000X 38273 CA Primary

Addresses

Primary practice location

600 N Arrowhead Ave
San Bernardino, CA 92401-1164

Mailing address

600 N Arrowhead Ave
San Bernardino, CA 92401-1164
Phone (909) 963-5355

Other practice location 1

2743 Orange St
Riverside, CA 92501-2538
Phone (951) 682-6631

Other practice location 2

4440 University Ave
Riverside, CA 92501
Phone (951) 683-6596

Other practice location 3

508 S 2nd Ave
Covina, CA 91723-3012
Phone (626) 974-8123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT 38273CAMDLicensed Psychiatric Technician
38273CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Step Up on Second Street Inc. PastSince Nov 15, 2020 Accepting new patients
Social Model Recovery Systems, Inc. PastSince Aug 1, 2019 Accepting new patients
Social Model Recovery Systems, Inc. PastSince Aug 1, 2019 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1385942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1033540091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N ARROWHEAD AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924011164",
            "telephone_number": "909-963-5355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N ARROWHEAD AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924011164",
            "telephone_number": "909-963-5355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2743 Orange St",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925012538",
            "country_code": "US",
            "telephone_number": "951-682-6631",
            "fax_number": "951-682-6614",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4440 University Ave",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "92501",
            "country_code": "US",
            "telephone_number": "951-683-6596",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "508 S 2nd Ave",
            "address_purpose": "LOCATION",
            "city": "Covina",
            "state": "CA",
            "postal_code": "917233012",
            "country_code": "US",
            "telephone_number": "626-974-8123",
            "fax_number": "626-974-8198",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINTERS",
        "first_name": "CORTNEY",
        "middle_name": "TWILA",
        "credential": "LPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-02",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "167G00000X",
            "taxonomy_group": "",
            "desc": "Licensed Psychiatric Technician",
            "state": "CA",
            "license": "PT 38273",
            "primary": false
        },
        {
            "code": "167G00000X",
            "taxonomy_group": "",
            "desc": "Licensed Psychiatric Technician",
            "state": "CA",
            "license": "38273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.