Active NPI
Georgina Ines Lamphere Sullivan, PHD
- Clinical Psychologist
- Rancho Cucamonga, CA
National Provider Identifier
1487633616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY 10649
- Practice address
- 8253 White Oak Ave
Rancho Cucamonga, CA 91730-7671 - Phone
- (909) 987-1997
- Fax
- (909) 978-0993
- NPI assigned
- Jan 16, 2006
- Sex
- Female
- 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 | PSY 10649 | CA | Primary |
Addresses
Primary practice location
8253 White Oak Ave
Rancho Cucamonga, CA 91730-7671
Mailing address
8253 White Oak Ave
Rancho Cucamonga, CA 91730-7671
Phone (909) 987-1997
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PSY 10649 | Other | CA | PH.D. LICENSE |
Other names 1
- Dr. Georgina Ines Lamphere
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 10649 | CA | MD | Clinical Psychologist |
| 10649 | CA | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foothills Psychological Services, Inc. | Current | Accepting new patients |
Locations
1550 N Park Ave
Pomona, CA 91768
Phone (909) 623-0791
10832 Laurel St
Ste 102
Rancho Cucamonga, CA 91730
Phone (909) 987-1997
954 W Foothill Blvd
Ste A
Upland, CA 91786
Phone (909) 946-4222
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Rancho Cucamonga, CA
- NPI 1912525791
-
- Psychologist
- Upland, CA
- NPI 1336121888
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786233600000",
"number": "1487633616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8253 WHITE OAK AVE",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917307671",
"telephone_number": "909-987-1997",
"fax_number": "909-978-0993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8253 WHITE OAK AVE",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917307671",
"telephone_number": "909-987-1997",
"fax_number": "909-978-0993"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAMPHERE SULLIVAN",
"first_name": "GEORGINA",
"middle_name": "INES",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-01-16",
"last_updated": "2026-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY 10649",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PH.D. LICENSE",
"identifier": "PSY 10649",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "GEORGINA",
"last_name": "LAMPHERE",
"middle_name": "INES",
"prefix": "DR.",
"credential": "PHD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Rancho Cucamonga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.