Organization Active NPI

Valley Psychiatric Services

  • Psychiatry Physician
  • Redlands, CA
National Provider Identifier
1407513633
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
VALLEY PSYCHIATRIC SERVICES
Practice address
515 New Jersey St Ste a
Redlands, CA 92373-6249
Phone
(909) 792-6886
NPI assigned
Nov 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Authorized official

Name
Dr. Liberty Macias, DNPNPI 1376936476
Title
Ceo
Phone
(909) 792-6886

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

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

Mailing address

PO Box 1303
Loma Linda, CA 92354-1303

Other practice location 1

153 S Broadway
Blythe, CA 92225-2501
Phone (760) 922-7322

National Provider Directory

National Provider Directory

Locations

153 S Broadway
Blythe, CA 92225
Phone (760) 922-7322

515 New Jersey St
Ste A
Redlands, CA 92373
Phone (909) 792-6886

1910 Orange Tree Ln
Ste 360
Redlands, CA 92374
Phone (909) 513-2002

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1637539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736467200000",
    "number": "1407513633",
    "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"
        },
        {
            "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"
        }
    ],
    "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"
        }
    ],
    "basic": {
        "organization_name": "VALLEY PSYCHIATRIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-22",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A",
        "authorized_official_last_name": "MACIAS",
        "authorized_official_first_name": "LIBERTY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-792-6886",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Jan 10, 2025; 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.