Individual provider Active NPI

Glenda Paola Ramos, PSY.D.

  • Clinical Child & Adolescent Psychologist
  • Rancho Cucamonga, CA
National Provider Identifier
1326449273
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
PSY30829 Issued in CA
Practice address
10737 Laurel St Ste 235
Rancho Cucamonga, CA 91730-3837
Phone
(909) 929-2720
NPI assigned
Sep 10, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY30829 CA
Cognitive & Behavioral Psychologist 103TB0200X PSY30829 CA
Clinical Psychologist 103TC0700X PSY30829 CA
Family Psychologist 103TF0000X PSY30829 CA
Intellectual & Developmental Disabilities Psychologist 103TM1800X PSY30829 CA
Clinical Child & Adolescent Psychologist 103TC2200X PSY30829 CA Primary

Addresses

Primary practice location

10737 Laurel St Ste 235
Rancho Cucamonga, CA 91730-3837

Mailing address

10737 Laurel St Ste 235
Rancho Cucamonga, CA 91730-3837
Phone (909) 929-2720

Other practice location 1

8300 Utica Ave Ste 245
Rancho Cucamonga, CA 91730-3852
Phone (909) 989-4055 ext. 3409

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY30829CAMDFamily Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
G. P. R. Psychological Services Inc. Psychologist CurrentSince Feb 12, 2023 Accepting new patients

Locations

10737 Laurel St
Ste 235
Rancho Cucamonga, CA 91730
Phone (909) 929-2720

8300 Utica Ave
Ste 245
Rancho Cucamonga, CA 91730
Phone (909) 989-4055

10470 Foothill Blvd
Ste 116
Rancho Cucamonga, CA 91730
Phone (909) 466-7606

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": "1410307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1326449273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10737 LAUREL ST STE 235",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303837",
            "telephone_number": "909-929-2720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10737 LAUREL ST STE 235",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303837",
            "telephone_number": "909-929-2720"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8300 Utica Ave Ste 245",
            "address_purpose": "LOCATION",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "postal_code": "917303852",
            "country_code": "US",
            "telephone_number": "909-989-4055 x3409",
            "fax_number": "909-989-8055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAMOS",
        "first_name": "GLENDA",
        "middle_name": "PAOLA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-10",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY30829",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "CA",
            "license": "PSY30829",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY30829",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "CA",
            "license": "PSY30829",
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "CA",
            "license": "PSY30829",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CA",
            "license": "PSY30829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.