Redlands Psychological Services

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY 23630 Issued in CA

Legal business name

REDLANDS PSYCHOLOGICAL SERVICES

Practice address

104 E Olive Ave Ste 100
Redlands, CA 92373-5255

Phone

(909) 327-2735

Fax

(909) 327-2735

NPI assigned

Nov 27, 2012

Last updated

Mar 26, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Glenn Potts, M.DIV., PHD

Title

Owner/ Psychologist

Phone

(909) 904-4462

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1353974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427328000000",
    "number": "1669717922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 E OLIVE AVE STE 100",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923735255",
            "telephone_number": "909-327-2735",
            "fax_number": "909-327-2735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 E OLIVE AVE STE 100",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923735255",
            "telephone_number": "909-327-2735",
            "fax_number": "909-327-2735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDLANDS PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-27",
        "last_updated": "2015-03-26",
        "status": "A",
        "authorized_official_last_name": "POTTS",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "OWNER/ PSYCHOLOGIST",
        "authorized_official_telephone_number": "909-904-4462",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.DIV., PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 23630",
            "primary": true
        },
        {
            "code": "103TP0814X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Psychoanalysis",
            "state": "CA",
            "license": "PSY 23630",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Redlands Optometry Group Inc a Professional Optometric Corporation (Redlands Optometry Group)
• Redlands Pathology Medical Group
• Redlands Pharmacy Inc (Redlands Pharmacy)
• Redlands Podiatry Group PC
• Redlands Prosthetic & Orthotic Group Inc
• Redlands Psychological, Inc.
• Redlands Rehab and Healthcare Systems
• Redlands Spine and Sport
• Redlands Surgery Facility
• Redlands Surgical Associates

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.