Foothills Neurocare, a Psychological Corporation

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Legal business name

FOOTHILLS NEUROCARE, A PSYCHOLOGICAL CORPORATION

Doing business as

Foothills Neurocare

Practice address

1145 S Grand Ave
Glendora, CA 91740-5013

Phone

(909) 394-1667

Fax

(909) 575-4783

NPI assigned

Jan 28, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Stacey M Bayan, PSY.D.NPI 1164807954

Title

Ceo

Phone

(626) 260-5468

Specialties & licenses 1

Addresses

Other names 1

• Foothills Neurocare Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stacey M. Bayan, PSYD

  • Clinical Neuropsychologist
  • Glendora, CA
  • NPI 1164807954
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1611792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714953600000",
    "number": "1245821743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 S GRAND AVE",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917405013",
            "telephone_number": "909-394-1667",
            "fax_number": "909-575-4783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 S GRAND AVE",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917405013",
            "telephone_number": "909-394-1667",
            "fax_number": "909-575-4783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTHILLS NEUROCARE, A PSYCHOLOGICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-28",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A",
        "authorized_official_last_name": "BAYAN",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-260-5468",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foothills Neurocare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Morgan Paige Franco, DMD

• Clinical Neuropsychologist in Glendora, CA
• Providers in Glendora, CA by specialty
• Clinical Neuropsychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.