Active NPI
Charyeea NA'Chelle Lupien
- Psychologist
- Rancho Cucamonga, CA
National Provider Identifier
1558828376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSB94027442
- Practice address
- 8350 Archibald Ave Ste 110
Rancho Cucamonga, CA 91730-3670 - Phone
- (909) 527-3463
- NPI assigned
- Feb 28, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 114903 | CA | |
| Psychologist | 103T00000X | PSB94027442 | CA | Primary |
Addresses
Primary practice location
8350 Archibald Ave Ste 110
Rancho Cucamonga, CA 91730-3670
Mailing address
8350 Archibald Ave Ste 110
Rancho Cucamonga, CA 91730-3670
Phone (909) 527-3463
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSB94027442 | CA | MD | Psychologist |
| 114903 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706659200000",
"number": "1558828376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8350 ARCHIBALD AVE STE 110",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917303670",
"telephone_number": "909-527-3463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8350 ARCHIBALD AVE STE 110",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917303670",
"telephone_number": "909-527-3463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUPIEN",
"first_name": "CHARYEEA",
"middle_name": "NA'CHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-28",
"last_updated": "2024-01-31",
"certification_date": "2024-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "114903",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSB94027442",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jan 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.