Esperanza Ranch Psychology Services Corporation

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

ESPERANZA RANCH PSYCHOLOGY SERVICES CORPORATION

Doing business as

Stillwater Counseling Centers

Practice address

3200 E Guasti Rd Ste 100
Ontario, CA 91761-8661

Phone

(714) 225-0416

Fax

(909) 697-2785

NPI assigned

Mar 10, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jodi Raye Cabrera, PSY.D.NPI 1134370893

Title

President

Phone

(909) 757-4345

Specialties & licenses 3

Addresses

Other names 1

• Stillwater Counseling Centers Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jodi Raye Cabrera, PSY.D.

  • Clinical Psychologist
  • Chino, CA
  • NPI 1134370893
  Medicare reassignment NPD Authorized official
• Adrian Michelle Camargo Rubly, PSY.D

  • Clinical Psychologist
  • Chino, CA
  • NPI 1447623657
  NPD
• William Mack Shannon, PH.D.

  • Clinical Psychologist
  • Oakland, CA
  • NPI 1063668275

  Cognitive & Behavioral

  NPD
• Delnice Elizabeth Parker, PSYCHOLOGICAL ASSC

  • Clinical Psychologist
  • Santa Clarita, CA
  • NPI 1790599363
  NPD (past)
• Jade Wranosky

  • Clinical Psychologist
  • Los Angeles, CA
  • NPI 1750976791
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1583798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591056000000",
    "number": "1659906790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 E GUASTI RD STE 100",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917618661",
            "telephone_number": "909-757-4345",
            "fax_number": "909-697-2785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 E GUASTI RD STE 100",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917618661",
            "telephone_number": "714-225-0416",
            "fax_number": "909-697-2785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESPERANZA RANCH PSYCHOLOGY SERVICES CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-10",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A",
        "authorized_official_last_name": "CABRERA",
        "authorized_official_first_name": "JODI",
        "authorized_official_middle_name": "RAYE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-757-4345",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "stillwater.care",
            "affiliation": "N",
            "endpointDescription": "Business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Business email",
            "address_1": "3200 E Guasti Rd Ste 100",
            "city": "Ontario",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917618661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Stillwater Counseling Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Blanca Esparza, D.D.S.
• Christopher Martinez Esparza, RDH
• Deyanira Esparza
• Logan Esparza
• Oscar Esparza, D.D.S
• Carlos Espinal
• Angel Susana Espinosa
• April Espinosa
• Giselle Espinosa
• Mirian Espinosa

• Clinical Psychologist in Ontario, CA
• Providers in Ontario, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.