Health Group Psychological Services, Inc

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

PSY10372 Issued in CA

Legal business name

HEALTH GROUP PSYCHOLOGICAL SERVICES, INC

Practice address

8580 Utica Ave
Suite 200
Rancho Cucamonga, CA 91730-4870

Phone

(909) 944-1717

Fax

(909) 948-5199

NPI assigned

May 30, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Amy M Miller, PSY.DNPI 1700930112

Title

Therapist Owner

Phone

(909) 944-1717

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Terry Lee Chase PHD3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Health Group Psychological Services Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Anaheim Hills, CA
  • NPI 1497861728
  NPD tax ID
• Health Group Psychological Services Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Santa Ana, CA
  • NPI 1154601045
  NPD tax ID

Locations

Practitioners 5

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

• Amy Marcel Miller, PSY.D.

  • Mental Health Counselor
  • Rancho Cucamonga, CA
  • NPI 1700930112
  Medicare reassignment Care Compare group Authorized official
• John Stanley Kinsman, PSYD

  • Psychologist
  • Patton, CA
  • NPI 1740232487
  Medicare reassignment Care Compare group
• Melissa Christine Darnell, LMFT

  • Marriage & Family Therapist
  • Victorville, CA
  • NPI 1447396874
  NPD (past)
• Connie McReynolds, PH.D.

  • Clinical Psychologist
  • Redlands, CA
  • NPI 1376606160
  NPD (past)
• Susan Velasquez, PSYCHOLOGIST PHD

  • Psychologist
  • Patton, CA
  • NPI 1275585077
  NPD (past)

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720289366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8580 UTICA AVE",
            "address_2": "SUITE 200",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304870",
            "telephone_number": "909-944-1717",
            "fax_number": "909-948-5199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8580 UTICA AVE",
            "address_2": "SUITE 200",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304870",
            "telephone_number": "909-944-1717",
            "fax_number": "909-948-5199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH GROUP PSYCHOLOGICAL SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "THERAPIST OWNER",
        "authorized_official_telephone_number": "909-944-1717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "PSY10372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.