Individual provider Active NPI

Ronald George Huston, LCP,LCSW,MFT

  • Clinical Psychologist
  • Yucaipa, CA
National Provider Identifier
1215193198
Registry record updated Jul 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY 10341 Issued in CA
Practice address
37375 Ironwood Dr
Yucaipa, CA 92399-9589
Phone
(909) 570-9089
Fax
(909) 570-9617
NPI assigned
Jul 31, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY 10341 CA Primary
Clinical Social Worker 1041C0700X LH007485 CA
Marriage & Family Therapist 106H00000X MZ23750 CA

Addresses

Primary practice location

37375 Ironwood Dr
Yucaipa, CA 92399-9589

Mailing address

37375 Ironwood Dr
Yucaipa, CA 92399-9589
Phone (909) 570-9089

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091217000645 CA Practitioner - Clinical Psychologist 6800936139 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY 10341CAMDClinical Psychologist
LH007485CAMDClinical Social Worker
MZ23750CAMDMarriage & Family Therapist
10341CAMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mission City Community Network, Inc. CurrentSince Feb 21, 2024 Accepting new patients
Mission City Community Network, Inc. CurrentSince Feb 21, 2024 Accepting new patients
Mission City Community Network, Inc. Current Accepting new patients
Foothills Psychological Services, Inc. CurrentSince Feb 1, 2016 Accepting new patients

Locations

13193 Central Ave
Ste 200
Chino, CA 91710
Phone (909) 902-9111

5050 San Bernardino St
Montclair, CA 91763
Phone (909) 281-5800

8363 Reseda Blvd
Ste 11
Northridge, CA 91324
Phone 8188953100602

1550 N Park Ave
Pomona, CA 91768
Phone (909) 623-0791

15206 Parthenia St
Sepulveda, CA 91343

600 N Euclid Ave
Ste 204
Upland, CA 91786
Phone (909) 379-1513

954 W Foothill Blvd
Ste A
Upland, CA 91786
Phone (909) 946-4222

15201 Eleventh St
Ste 300
Victorville, CA 92395
Phone (760) 245-1640

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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.

NPI Registry JSON

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

{
    "created_epoch": "1217462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217462400000",
    "number": "1215193198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37375 IRONWOOD DR",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923999589",
            "telephone_number": "909-570-9089",
            "fax_number": "909-570-9617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37375 IRONWOOD DR",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923999589",
            "telephone_number": "909-570-9089",
            "fax_number": "909-570-9617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSTON",
        "first_name": "RONALD",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "LCP,LCSW,MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-31",
        "last_updated": "2008-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 10341",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LH007485",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MZ23750",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yucaipa, CA

Sources for this page

Verify at the official NPI Registry.