Individual provider Active NPI

June Angela Swan, PH D.

  • Psychologist
  • Rancho Cucamonga, CA
National Provider Identifier
1295855468
Registry record updated Jul 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
8333 E. Foothill Blvd.
Suite 109
Rancho Cucamonga, CA 91730
Phone
(909) 510-7643
Fax
(909) 463-9004
NPI assigned
Mar 30, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY16138 CA
Psychologist 103T00000X Primary

Addresses

Primary practice location

8333 E. Foothill Blvd.
Suite 109
Rancho Cucamonga, CA 91730

Mailing address

8333 E. Foothill Blvd.
Suite 109
Rancho Cucamonga, CA 91730
Phone (909) 510-7643

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
I20260528004039 CA Practitioner - Clinical Psychologist 5799255956 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1993
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8333 Foothill Blvd
Suite 100
Rancho Cucamonga, CA 91730-3154

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY16138CAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Swan Psychological Services, Inc. Psychologist CurrentSince Jul 28, 2019 Accepting new patients

Locations

8333 Foothill Blvd
Ste 109
Rancho Cucamonga, CA 91730
Phone (909) 294-3422

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": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1295855468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8333 E. FOOTHILL BLVD.",
            "address_2": "SUITE 109",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "91730",
            "telephone_number": "909-510-7643",
            "fax_number": "909-463-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8333 E. FOOTHILL BLVD.",
            "address_2": "SUITE 109",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "91730",
            "telephone_number": "909-510-7643",
            "fax_number": "909-463-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWAN",
        "first_name": "JUNE",
        "middle_name": "ANGELA",
        "name_prefix": "Dr.",
        "credential": "PH D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY16138",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

Verify at the official NPI Registry.