Swan Psychological Services, Inc.

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

SWAN PSYCHOLOGICAL SERVICES, INC.

Practice address

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

Phone

(909) 510-7643

Fax

(909) 463-9004

NPI assigned

Jul 22, 2019

Organization subpart

No

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

Authorized official

Name

Dr. June Angela Swan, PHD.NPI 1295855468

Title

Lic. Psychologist

Phone

(909) 463-9004

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

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

• June Angela Swan, PH D.

  • Psychologist
  • Rancho Cucamonga, CA
  • NPI 1295855468
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1563753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563753600000",
    "number": "1336792100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8333 E. FOOTHILL BLVD., 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., SUITE 109",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "91730",
            "telephone_number": "909-510-7643",
            "fax_number": "909-463-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWAN PSYCHOLOGICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-22",
        "last_updated": "2019-07-22",
        "status": "A",
        "authorized_official_last_name": "SWAN",
        "authorized_official_first_name": "JUNE",
        "authorized_official_middle_name": "ANGELA",
        "authorized_official_title_or_position": "LIC. PSYCHOLOGIST",
        "authorized_official_telephone_number": "909-463-9004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jenna Swaffer, DC
• June Angela Swan, PH D.
• Caitlin Elaine Swanson, LMFT
• Leticia Swiney
• Deimzon Sy
• Katie Ann Sy

• Psychologist in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; 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.