Active NPI
Del Sol Psychologycal Center
- Health Maintenance Organization
- Upland, CA
National Provider Identifier
1083989024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- License
- 27904
- Legal business name
- DEL SOL PSYCHOLOGYCAL CENTER
- Practice address
- 397 N Central Ave
Upland, CA 91786-4217 - Phone
- (909) 608-9222
- NPI assigned
- Mar 8, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Julieta M Calderon, MFT, PSY.D
- Title
- Clinical Director
- Phone
- (909) 608-9222
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | 27904 | CA | Primary |
Addresses
Primary practice location
397 N Central Ave
Upland, CA 91786-4217
Mailing address
397 N Central Ave
Upland, CA 91786-4217
Phone (909) 608-9222
Other names 1
- del sol Psychology center
National Provider Directory
National Provider DirectoryLocations
397 N Central Ave
Upland, CA 91786
Phone (909) 608-9222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331164800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1331164800000",
"number": "1083989024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "397 N CENTRAL AVE",
"city": "UPLAND",
"state": "CA",
"postal_code": "917864217",
"telephone_number": "909-608-9222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "397 N CENTRAL AVE",
"city": "UPLAND",
"state": "CA",
"postal_code": "917864217",
"telephone_number": "909-608-9222"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEL SOL PSYCHOLOGYCAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-08",
"last_updated": "2012-03-08",
"status": "A",
"authorized_official_last_name": "CALDERON",
"authorized_official_first_name": "JULIETA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CLINICAL DIRECTOR",
"authorized_official_telephone_number": "909-608-9222",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MFT, PSY.D"
},
"taxonomies": [
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": "CA",
"license": "27904",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "del sol Psychology center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Upland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.