Individual provider Active NPI

Debra Alphonsa George-Barber, PH.D.

  • Clinical Psychologist
  • Corona, CA
National Provider Identifier
1801047675
Registry record updated Oct 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY15700 Issued in CA
Practice address
13753 Hunters Run CT
Corona, CA 92880-5555
Phone
(310) 930-3589
NPI assigned
Oct 9, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY15700 CA Primary

Addresses

Primary practice location

13753 Hunters Run CT
Corona, CA 92880-5555

Mailing address

13753 Hunters Run CT
Corona, CA 92880-5555
Phone (310) 930-3589

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150202000573 CA Practitioner - Clinical Psychologist 7012902661 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY15700CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Foothills Psychological Services, Inc. CurrentSince Nov 4, 2014 Accepting new patients

Locations

13193 Central Ave
Ste 200
Chino, CA 91710
Phone (909) 902-9111

13193 Central Ave
Ste 100
Chino, CA 91710
Phone (909) 464-9675

5050 San Bernardino St
Montclair, CA 91763
Phone (909) 281-5800

1550 N Park Ave
Pomona, CA 91768
Phone (909) 623-0791

9089 Base Line Rd
Ste 200
Rch Cucamonga, CA 91730
Phone (909) 480-3567

9089 Base Line Rd
Ste 100
Rch Cucamonga, CA 91730
Phone (909) 483-0505

954 W Foothill Blvd
Ste A
Upland, CA 91786
Phone (909) 946-4222

600 N Euclid Ave
Ste 204
Upland, CA 91786
Phone (909) 379-1513

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1223510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223510400000",
    "number": "1801047675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13753 HUNTERS RUN CT",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928805555",
            "telephone_number": "310-930-3589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13753 HUNTERS RUN CT",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928805555",
            "telephone_number": "310-930-3589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE-BARBER",
        "first_name": "DEBRA",
        "middle_name": "ALPHONSA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-09",
        "last_updated": "2008-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY15700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

Verify at the official NPI Registry.