Organization Active NPI

Inner Growth Lab

  • Psychiatry Physician
  • Redlands, CA
National Provider Identifier
1235811134
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
INNER GROWTH LAB
Practice address
10010 Alabama St Ste a
Redlands, CA 92374-2068
Phone
(840) 888-5319
NPI assigned
Aug 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Authorized official

Name
Katia Sirel Stoletniy, MDNPI 1366701401
Title
MD
Phone
(909) 528-6459

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

10010 Alabama St Ste a
Redlands, CA 92374-2068

Mailing address

10010 Alabama St Ste a
Redlands, CA 92374-2068
Phone (840) 888-5319

National Provider Directory

National Provider Directory

Locations

10010 Alabama St
Ste A
Redlands, CA 92374
Phone (840) 888-5319

Practitioners & affiliated clinicians

Practitioners 1

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": "1690848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690848000000",
    "number": "1235811134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10010 ALABAMA ST STE A",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923742068",
            "telephone_number": "840-888-5319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10010 ALABAMA ST STE A",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923742068",
            "telephone_number": "840-888-5319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER GROWTH LAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-01",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A",
        "authorized_official_last_name": "STOLETNIY",
        "authorized_official_first_name": "KATIA",
        "authorized_official_middle_name": "SIREL",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "909-528-6459",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; 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.