Individual provider Active NPI

Deborah Seffinger, PHD

  • Psychologist
  • Rancho Cucamonga, CA
National Provider Identifier
1245478692
Registry record updated Jan 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY 22246 Issued in CA
Practice address
10722 Arrow Route
Suite 314
Rancho Cucamonga, CA 91730-4811
Phone
(909) 484-8888
Fax
(909) 581-0920
NPI assigned
Jan 22, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY 22246 CA Primary

Addresses

Primary practice location

10722 Arrow Route
Suite 314
Rancho Cucamonga, CA 91730-4811

Mailing address

10722 Arrow Route
Suite 314
Rancho Cucamonga, CA 91730-4811
Phone (909) 484-8888

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
I20090427000469 CA Practitioner - Clinical Psychologist 9436207610 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10722 Arrow Rte
Suite 314
Rancho Cucamonga, CA 91730-4811
Phone (909) 484-8888

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY 22246CAMDPsychologist
22246CAMDSpeech-Language Pathologist

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1232582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484179200000",
    "number": "1245478692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10722 ARROW ROUTE",
            "address_2": "SUITE 314",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304811",
            "telephone_number": "909-484-8888",
            "fax_number": "909-581-0920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10722 ARROW ROUTE",
            "address_2": "SUITE 314",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304811",
            "telephone_number": "909-484-8888",
            "fax_number": "909-581-0920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEFFINGER",
        "first_name": "DEBORAH",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-22",
        "last_updated": "2017-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY 22246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

Verify at the official NPI Registry.