Active NPI
Joseph Ralph Ortiz I, PHD, MFT
- Clinical Psychologist
- Redlands, CA
National Provider Identifier
1306980982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY 25127
- Practice address
- 1573 Gold Cup CT
Redlands, CA 92374-2767 - Phone
- (909) 838-8808
- NPI assigned
- Feb 16, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFT 24073 | CA | |
| Clinical Psychologist | 103TC0700X | PSY 25127 | CA | Primary |
Addresses
Primary practice location
1573 Gold Cup CT
Redlands, CA 92374-2767
Mailing address
1573 Gold Cup CT
Redlands, CA 92374-2767
Phone (909) 794-0973
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 25127 | CA | MD | Clinical Psychologist |
| MFT 24073 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346025600000",
"number": "1306980982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1573 GOLD CUP CT",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923742767",
"telephone_number": "909-794-0973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1573 GOLD CUP CT",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923742767",
"telephone_number": "909-838-8808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ",
"first_name": "JOSEPH",
"middle_name": "RALPH",
"name_prefix": "Dr.",
"name_suffix": "I",
"credential": "PHD, MFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-16",
"last_updated": "2012-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFT 24073",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY 25127",
"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 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.