Active NPI
Cosette Tangsouvanh
- School Psychologist
- Ontario, CA
National Provider Identifier
1891650149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- Practice address
- 1320 N Berlyn Ave
Ontario, CA 91764-1907 - Phone
- (909) 986-8995
- NPI assigned
- Dec 18, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | Primary |
Addresses
Primary practice location
1320 N Berlyn Ave
Ontario, CA 91764-1907
Mailing address
950 W D St
Ontario, CA 91762-3026
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1766016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766016000000",
"number": "1891650149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "950 W D ST",
"city": "ONTARIO",
"state": "CA",
"postal_code": "917623026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1320 N BERLYN AVE",
"city": "ONTARIO",
"state": "CA",
"postal_code": "917641907",
"telephone_number": "909-986-8995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANGSOUVANH",
"first_name": "COSETTE",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2025-12-18",
"last_updated": "2025-12-18",
"certification_date": "2025-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ontario, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.