Actualize Psychological Services Inc

Primary specialty

School PsychologistTaxonomy code 103TS0200X

Legal business name

ACTUALIZE PSYCHOLOGICAL SERVICES INC

Practice address

7707 Calle Casino
Rancho Cucamonga, CA 91730-1815

Phone

(909) 736-2911

NPI assigned

Aug 26, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Nicole Cheri Olson, LEPNPI 1518786375

Title

Owner

Phone

(760) 265-2633

Specialties & licenses 4

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicole Cheri Olson, LEP

  • School Psychologist
  • Rancho Cucamonga, CA
  • NPI 1518786375
  NPD Authorized official
• Alonzo Esparza Nevarez, LEP

  • School Psychologist
  • Rancho Cucamonga, CA
  • NPI 1871312579
  NPD

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

{
    "created_epoch": "1724630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724630400000",
    "number": "1154154060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7707 CALLE CASINO",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917301815",
            "telephone_number": "909-736-2911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7707 CALLE CASINO",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917301815",
            "telephone_number": "909-736-2911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTUALIZE PSYCHOLOGICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-26",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-25",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "CHERI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-265-2633",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LEP"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlene Acosta
• Jonathan Acosta, MD
• Raul Acosta
• Activcare Med Group Inc
• Active Physical Medicine
• Leanna Adame
• Lisa Adams-Mann, M.S.
• Shilo Adams
• Styler Ashtin Adamson I
• Adapthealth West, LLC

• School Psychologist in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• School Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.