Active NPI
Ashley D. Prueitt, PSYD
- Psychologist
- Upland, CA
National Provider Identifier
1548598220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY26650
- Practice address
- 954 W Foothill Blvd Ste a
Upland, CA 91786-3782 - Phone
- (909) 946-4222
- NPI assigned
- Nov 18, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY26650 | CA | Primary |
Addresses
Primary practice location
954 W Foothill Blvd Ste a
Upland, CA 91786-3782
Mailing address
7014 7TH Ave
Hesperia, CA 92345-4426
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY26650 | CA | MD | Psychologist |
| 26650 | CA | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1514851200000",
"number": "1548598220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7014 7TH AVE",
"city": "HESPERIA",
"state": "CA",
"postal_code": "923454426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "954 W FOOTHILL BLVD STE A",
"city": "UPLAND",
"state": "CA",
"postal_code": "917863782",
"telephone_number": "909-946-4222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRUEITT",
"first_name": "ASHLEY",
"middle_name": "D.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-18",
"last_updated": "2018-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY26650",
"primary": true
}
],
"identifiers": [],
"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 Jan 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.