Organization Active NPI

Collaborative Psychology Group

  • Clinic/Center
  • Riverside, CA
National Provider Identifier
1306789839
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
COLLABORATIVE PSYCHOLOGY GROUP
Practice address
3880 Lemon St Ste 500
Riverside, CA 92501-3374
Phone
(951) 682-1488
NPI assigned
Apr 10, 2026
Last updated
Aug 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Authorized official

Name
Stephanie Michelle OlivasNPI 1114841905
Title
Intern
Phone
(951) 941-2141

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

3880 Lemon St Ste 500
Riverside, CA 92501-3374

Mailing address

3880 Lemon St Ste 500
Riverside, CA 92501-3374
Phone (951) 530-1299

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1775779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785888000000",
    "number": "1306789839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3880 LEMON ST STE 500",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925013374",
            "telephone_number": "951-530-1299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3880 LEMON ST STE 500",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925013374",
            "telephone_number": "951-682-1488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLABORATIVE PSYCHOLOGY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-10",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A",
        "authorized_official_last_name": "OLIVAS",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "INTERN",
        "authorized_official_telephone_number": "951-941-2141"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; 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.