Organization Active NPI

Watson, Sanchez, & Navarro Psychological Group Inc

  • Clinical Psychologist
  • Upland, CA
National Provider Identifier
1164023867
Registry record updated Mar 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
WATSON, SANCHEZ, & NAVARRO PSYCHOLOGICAL GROUP INC
Practice address
270 E 7TH St Ste 1C
Upland, CA 91786-6602
Phone
(951) 264-2164
NPI assigned
Nov 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2021

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

Authorized official

Name
Dr. Juan Manuel Navarro Jr., PSY.D.
Title
Clinical Psychologist
Phone
(951) 264-2164

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

270 E 7TH St Ste 1C
Upland, CA 91786-6602

Mailing address

270 E 7TH St Ste 1C
Upland, CA 91786-6602
Phone (951) 264-2164

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210406001086 CA Part B Supplier - Clinic/Group Practice 5496162661 Receives reassigned benefits from 1 practitioner
Practice locations: Upland, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1604793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615248000000",
    "number": "1164023867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 E 7TH ST STE 1C",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917866602",
            "telephone_number": "951-264-2164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 E 7TH ST STE 1C",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917866602",
            "telephone_number": "951-264-2164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATSON, SANCHEZ, & NAVARRO PSYCHOLOGICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-08",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A",
        "authorized_official_last_name": "NAVARRO",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "MANUEL",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "951-264-2164",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.