Organization Active NPI

Inspire Psychology Services, PC

  • Clinical Psychologist
  • Redding, CA
National Provider Identifier
1417703323
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
INSPIRE PSYCHOLOGY SERVICES, PC
Practice address
2628 Victor Ave Ste C
Redding, CA 96002-1454
Phone
(530) 953-2330
Fax
(530) 953-2335
NPI assigned
Apr 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Authorized official

Name
Dr. Guina Cohen Waters, PHDNPI 1518456730
Title
President
Phone
(530) 953-2330

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

2628 Victor Ave Ste C
Redding, CA 96002-1454

Mailing address

2628 Victor Ave Ste C
Redding, CA 96002-1454
Phone (530) 953-2330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240717004943 CA Part B Supplier - Clinic/Group Practice 2264978956 Receives reassigned benefits from 1 practitioner
Practice locations: Redding, CA

National Provider Directory

National Provider Directory

Locations

2628 Victor Ave
Ste C
Redding, CA 96002
Phone (530) 638-3368

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": "1714435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714435200000",
    "number": "1417703323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2628 VICTOR AVE STE C",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960021454",
            "telephone_number": "530-953-2330",
            "fax_number": "530-953-2335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2628 VICTOR AVE STE C",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960021454",
            "telephone_number": "530-953-2330",
            "fax_number": "530-953-2335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSPIRE PSYCHOLOGY SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-30",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A",
        "authorized_official_last_name": "COHEN WATERS",
        "authorized_official_first_name": "GUINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-953-2330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.