Active NPI
Emily Beth Fine, PH.D.
- Clinical Neuropsychologist
- Ontario, CA
National Provider Identifier
1578849287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- PSY 23742
- Practice address
- 3281 E Guasti Rd Ste 700
Ontario, CA 91761-7643 - Phone
- (909) 480-8235
- Fax
- (909) 354-3363
- NPI assigned
- Oct 26, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY 23742 | CA | |
| Clinical Neuropsychologist | 103G00000X | PSY 23742 | CA | Primary |
Addresses
Primary practice location
3281 E Guasti Rd Ste 700
Ontario, CA 91761-7643
Mailing address
PO Box 1273
Claremont, CA 91711-1273
Phone (909) 480-8235
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 |
|---|---|---|---|
| PSY 23742 | CA | MD | Clinical Neuropsychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Casa Colina Hospital and Centers for Healthcare | Current | Accepting new patients | |
| Beach Cities Psychological Services, Inc. | Clinical | Past | Accepting new patients |
Locations
255 E Bonita Ave
Pomona, CA 91767
Phone (866) 724-4127
Interoperability endpoints
- casacolina@direct.casacolina.org
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.
-
- General Acute Care Hospital
- Pomona, CA
- NPI 1952777245
-
- Clinical Psychologist
- Hermosa Beach, CA
- NPI 1528317955
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587081600000",
"number": "1578849287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1273",
"city": "CLAREMONT",
"state": "CA",
"postal_code": "917111273",
"telephone_number": "909-480-8235",
"fax_number": "909-354-3363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3281 E GUASTI RD STE 700",
"city": "ONTARIO",
"state": "CA",
"postal_code": "917617643",
"telephone_number": "909-480-8235",
"fax_number": "909-354-3363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FINE",
"first_name": "EMILY",
"middle_name": "BETH",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-26",
"last_updated": "2020-04-17",
"certification_date": "2020-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY 23742",
"primary": false
},
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "CA",
"license": "PSY 23742",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ontario, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.