Deborah Vandenboom

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

DEBORAH VANDENBOOM

Practice address

600 N Mountain Ave Ste C205I
Upland, CA 91786-4359

Phone

(909) 377-2616

NPI assigned

Jun 12, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Deborah Ann Vandenboom, LCSWNPI 1164509758

Title

Owner

Phone

(909) 377-2616

Specialties & licenses 2

Addresses

Practitioners 1

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

• Deborah Vandenboom, LCSW

  • Clinical Social Worker
  • Upland, CA
  • NPI 1164509758
  NPD (past) Authorized official

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

{
    "created_epoch": "1497225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497484800000",
    "number": "1780114835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2026",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917852026",
            "telephone_number": "909-377-2616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N MOUNTAIN AVE STE C205I",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864359",
            "telephone_number": "909-377-2616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBORAH VANDENBOOM",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-12",
        "last_updated": "2017-06-15",
        "status": "A",
        "authorized_official_last_name": "VANDENBOOM",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-377-2616",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daystar Medical Corporation
• Michelle Angela Dazalla, LMFT
• Tiffany De Jesus
• Sabrina Serah De Leon
• Megan Dean, RN, IBCLC
• Dulce R Decastro, MD
• Deepaaleya Medical Inc.
• Janice Kay Degrande, CAS
• Rebecca Manalac Deguzman, RPH
• Maryam Dehbozorgi, FNP

• Community/Behavioral Health Agency in Upland, CA
• Providers in Upland, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2017; 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.