Active NPI
Terry Lee Chase, PH.D.
- Clinical Psychologist
- Upland, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY11141
- Practice address
- 954 W. Foothill Blvd
Suite a
Upland, CA 91786-3782 - Phone
- (909) 946-4222
- Fax
- (909) 946-8243
- NPI assigned
- Dec 1, 2005
- Last updated
- Dec 26, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY11141 | CA | Primary |
Addresses
Primary practice location
954 W. Foothill Blvd
Suite a
Upland, CA 91786-3782
Mailing address
954 W. Foothill Blvd
Suite a
Upland, CA 91786-3782
Phone (909) 946-4222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PSY111411 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
954 W Foothill Blvd
Suite a
Upland, CA 91786-3782
Phone (909) 946-4222
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY11141 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| One Health Center, Inc. | Current | Accepting new patients | |
| Mission City Community Network, Inc. | Current | Accepting new patients | |
| Foothills Psychological Services, Inc. | Current | Accepting new patients | |
| Mission City Community Network, Inc. | Current | Accepting new patients | |
| One Health Center, Inc. | Clinical | Current | Accepting new patients |
Locations
13193 Central Ave
Ste 200
Chino, CA 91710
Phone (909) 902-9111
590 S Indian Hill Blvd
Claremont, CA 91711
Phone (909) 624-4511
401 W Ada Ave
Glendora, CA 91741
Phone (626) 335-9810
5050 San Bernardino St
Montclair, CA 91763
Phone (909) 281-5800
8363 Reseda Blvd
Ste 11
Northridge, CA 91324
Phone (818) 882-0009
1550 N Park Ave
Pomona, CA 91768
Phone (909) 623-0791
219 E Foothill Blvd
Pomona, CA 91767
Phone (906) 593-1391
15206 Parthenia St
Sepulveda, CA 91343
954 W Foothill Blvd
Ste A
Upland, CA 91786
Phone (909) 946-4222
600 N Euclid Ave
Ste 204
Upland, CA 91786
Phone (909) 379-1513
199 N 2nd Ave
Upland, CA 91786
Phone (909) 294-3915
15201 Eleventh St
Ste 300
Victorville, CA 92395
Phone (760) 245-1640
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychologist
- Upland, CA
- NPI 1336121888
-
- Community Health Clinic/Center
- Upland, CA
- NPI 1265272736
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Hollywood, CA
- NPI 1710102009
-
- Community Health Clinic/Center
- North Hills, CA
- NPI 1710370747
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735171200000",
"number": "1447234679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "954 W. FOOTHILL BLVD",
"address_2": "SUITE A",
"city": "UPLAND",
"state": "CA",
"postal_code": "917863782",
"telephone_number": "909-946-4222",
"fax_number": "909-946-8243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "954 W. FOOTHILL BLVD",
"address_2": "SUITE A",
"city": "UPLAND",
"state": "CA",
"postal_code": "917863782",
"telephone_number": "909-946-4222",
"fax_number": "909-946-8243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHASE",
"first_name": "TERRY",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-01",
"last_updated": "2024-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY11141",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PSY111411",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Upland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2024; 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.