Cherilyn Elaine Davidson Cibelli, PH.D.

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

PSY16474 Issued in CA

Practice address

1325 S Auto Plaza Dr
Suite 130
San Bernardino, CA 92408-2762

Phone

(951) 317-0243

Fax

(951) 769-4079

NPI assigned

Nov 20, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811061880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923730101",
            "telephone_number": "951-317-0243",
            "fax_number": "951-769-4079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 S AUTO PLAZA DR",
            "address_2": "SUITE 130",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924082762",
            "telephone_number": "951-317-0243",
            "fax_number": "951-769-4079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON CIBELLI",
        "first_name": "CHERILYN",
        "middle_name": "ELAINE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CA",
            "license": "PSY16474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Trung D. Nguyen, M.D., Inc.
• David W. Yang, a Professional Corporation
• David Westerberg D.D.S. Corporation
• Amelia David, DDS
• Kasey David
• Jamie Davidson
• Agnes Serafina Davis
• Benjamin Franklin Davis, MD
• Bij'on Davis
• Carol Louise Davis, RN, LCSW

• Clinical Child & Adolescent Psychologist in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Clinical Child & Adolescent Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.