Active NPI
Valley Psychiatric Services
- Psychiatry Physician
- Redlands, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Liberty Macias, DNP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary | ||
| Psychiatric/Mental Health Nurse Practitioner | 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 DirectoryLocations
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Redlands, CA
- NPI 1376936476
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.