Individual provider Active NPI

Ana I Pleitez, PSY.D.

  • Clinical Psychologist
  • Pomona, CA
National Provider Identifier
1194844399
Registry record updated Dec 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY27754 Issued in CA
Practice address
1642 Club Dr
Pomona, CA 91768-1267
Phone
(909) 576-5444
NPI assigned
Mar 28, 2007
Last updated
Dec 24, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY27754 CA Primary

Addresses

Primary practice location

1642 Club Dr
Pomona, CA 91768-1267

Mailing address

1642 Club Dr
Pomona, CA 91768-1267
Phone (909) 576-5444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PSY27754CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Alma Matters Family Psychological Clinic, a Professional Corp. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450915200000",
    "number": "1194844399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1642 CLUB DR",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917681267",
            "telephone_number": "909-576-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1642 CLUB DR",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917681267",
            "telephone_number": "909-576-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLEITEZ",
        "first_name": "ANA",
        "middle_name": "I",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2015-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY27754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2015; 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.