Active NPI
Robert Curtis Krueger, PH.D.
- Clinical Psychologist
- Lancaster, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY19602
- Practice address
- 2064 W Avenue J
Suite 385
Lancaster, CA 93536-5913 - Phone
- (661) 435-1058
- Fax
- (661) 793-7480
- NPI assigned
- Oct 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY19602 | CA | Primary |
Addresses
Primary practice location
2064 W Avenue J
Suite 385
Lancaster, CA 93536-5913
Mailing address
2064 W Avenue J
Suite 385
Lancaster, CA 93536-5913
Phone (661) 435-1058
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3625 E Thousand Oaks Blvd
Suite 232
Westlake Village, CA 91362-6932
Phone (818) 518-9715
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY19602 | CA | MD | Clinical Psychologist |
| 19602 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inland Psychiatric Medical Group, Inc. | Current | Accepting new patients | |
| Pacific Heritage Medical Group Inc | Current | Accepting new patients | |
| Asana Integrated Medical Group PC | Clinical | Current | Accepting new patients |
| Inland Psychiatric Medical Group, Inc. | Clinical | Current | Accepting new patients |
Locations
300 W Huntington Dr
Arcadia, CA 91007
Phone (626) 445-4441
16279 Walnut St
Hesperia, CA 92345
Phone (760) 243-7700
24432 Muirlands Blvd
Ste 131
Lake Forest, CA 92630
Phone (714) 520-3000
1656 W Avenue J
Lancaster, CA 93534
Phone (661) 942-1169
1600 W Avenue J
Lancaster, CA 93534
Phone (661) 726-6254
8710 Monroe Ct
Ste 150
Rancho Cucamonga, CA 91730
Phone (909) 941-4870
1809 W Redlands Blvd
Redlands, CA 92373
Phone (909) 307-1320
2101 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 881-4305
1805 Medical Center Dr
Sn Bernrdno, CA 92411
Phone (909) 877-6333
3625 E Thousand Oaks Blvd
Ste 232
Westlake Village, CA 91362
Phone (818) 518-9715
Organizations & group practices 4
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.
-
- Geriatric Psychiatry Physician
- Westlake Village, CA
- NPI 1467899450
-
- Psychiatry Physician
- Redlands, CA
- NPI 1336977990
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lancaster, CA
- NPI 1366419517
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371427200000",
"number": "1174606255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2064 W AVENUE J",
"address_2": "SUITE 385",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935365913",
"telephone_number": "661-435-1058",
"fax_number": "661-793-7480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2064 W AVENUE J",
"address_2": "SUITE 385",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935365913",
"telephone_number": "661-435-1058",
"fax_number": "661-793-7480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUEGER",
"first_name": "ROBERT",
"middle_name": "CURTIS",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-23",
"last_updated": "2013-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY19602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.