Liberty Macias, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95002264 Issued in CA

Practice address

515 New Jersey St Ste a
Redlands, CA 92373-6249

Phone

(909) 792-6886

Fax

(888) 505-0620

NPI assigned

Mar 13, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Loma Linda Psychiatric Medical Group

  • Multi-Specialty Clinic/Center
  • Redlands, CA
  • NPI 1750835013

  Psychiatric/Mental Health

  NPD Authorized official
• Valley Psychiatric Services

  • Psychiatry Physician
  • Redlands, CA
  • NPI 1407513633

  Psychiatric/Mental Health

  NPD Authorized official
• Valley Psychiatric Services

  • Psychiatric/Mental Health Nurse Practitioner
  • Las Vegas, NV
  • NPI 1285357905
  NPD Authorized official
• Access Health Care

  • Psychiatric/Mental Health Nurse Practitioner
  • Loma Linda, CA
  • NPI 1396114724
  NPD (past) Authorized official

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

{
    "created_epoch": "1426204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1376936476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1303",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923541303",
            "telephone_number": "909-792-6886",
            "fax_number": "888-505-0620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 NEW JERSEY ST STE A",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923736249",
            "telephone_number": "909-792-6886",
            "fax_number": "888-505-0620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "153 S Broadway",
            "address_purpose": "LOCATION",
            "city": "Blythe",
            "state": "CA",
            "postal_code": "922252501",
            "country_code": "US",
            "telephone_number": "760-922-7322",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1007 E Cooley Dr Ste 109",
            "address_purpose": "LOCATION",
            "city": "Colton",
            "state": "CA",
            "postal_code": "923243901",
            "country_code": "US",
            "telephone_number": "909-370-4700",
            "fax_number": "888-505-0620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACIAS",
        "first_name": "LIBERTY",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-13",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95002264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sienna Lynch
• Shannon Leann Mabie, FNP-C
• Mohsen I Mabudian, M.D.
• Madeline Mace, AMFT
• Carlos Aitor Macias, MD, MPH, FACS
• Domonique Mackey
• Kala Marie Maclaughlan, PHARMD
• Christina Maclean, PA-C
• Kelly Ann Macwilkinson, LCSW
• Madeline C Douglas

• Psychiatric/Mental Health Nurse Practitioner in Redlands, CA
• Providers in Redlands, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.