Organization Active NPI

Del Sol Psychologycal Center

  • Health Maintenance Organization
  • Upland, CA
National Provider Identifier
1083989024
Registry record updated Mar 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
27904 Issued in CA
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

Updated by the provider on Mar 8, 2012

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.