Organization Active NPI

With Intention Neuropsychological and Psychotherapy Services Inc.

  • Clinical Neuropsychologist
  • Riverside, CA
National Provider Identifier
1750273561
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
Legal business name
WITH INTENTION NEUROPSYCHOLOGICAL AND PSYCHOTHERAPY SERVICES INC.
Practice address
6809 Indiana Ave Ste 100
Riverside, CA 92506-4221
Phone
(951) 899-0718
Fax
(951) 268-4650
NPI assigned
Jul 16, 2025
Last updated
Sep 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

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

Authorized official

Name
Nicole Montoya Garcia, PSYDNPI 1558739219
Title
Owner
Phone
(951) 899-0718

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X Primary

Addresses

Primary practice location

6809 Indiana Ave Ste 100
Riverside, CA 92506-4221

Mailing address

6809 Indiana Ave Ste 100
Riverside, CA 92506-4221
Phone (951) 899-0718

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251122001280 CA Part B Supplier - Clinic/Group Practice 0345732798 Receives reassigned benefits from 1 practitioner
Practice locations: Riverside, CA

National Provider Directory

National Provider Directory

Locations

6809 Indiana Ave
Ste 100
Riverside, CA 92506
Phone (909) 731-8179

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1752624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789344000000",
    "number": "1750273561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6809 INDIANA AVE STE 100",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925064221",
            "telephone_number": "951-899-0718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6809 INDIANA AVE STE 100",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925064221",
            "telephone_number": "951-899-0718",
            "fax_number": "951-268-4650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WITH INTENTION NEUROPSYCHOLOGICAL AND PSYCHOTHERAPY SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-16",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "MONTOYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-899-0718",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; 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.