Organization Active NPI

Loretta Mead Psychology Inc

  • Clinical Psychologist
  • Riverside, CA
National Provider Identifier
1932505088
Registry record updated Nov 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
24298 Issued in CA
Legal business name
LORETTA MEAD PSYCHOLOGY INC
Practice address
5005 La Mart Dr
Ste 100-B10
Riverside, CA 92507-5952
Phone
(909) 242-5409
NPI assigned
Nov 17, 2014
Last updated
Nov 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2014

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

Authorized official

Name
Dr. Loretta Mead, PSYDNPI 1104170083
Title
Psychologist
Phone
(909) 242-5409

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 24298 CA Primary

Addresses

Primary practice location

5005 La Mart Dr
Ste 100-B10
Riverside, CA 92507-5952

Mailing address

25930 Yanez Trail Rd
Moreno Valley, CA 92551-2101
Phone (909) 242-5409

National Provider Directory

National Provider Directory

Locations

5005 La Mart Dr
Ste 100B10
Riverside, CA 92507
Phone (909) 242-5409

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": "1416182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416182400000",
    "number": "1932505088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25930 YANEZ TRAIL RD",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925512101",
            "telephone_number": "909-242-5409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 LA MART DR",
            "address_2": "STE 100-B10",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925075952",
            "telephone_number": "909-242-5409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORETTA MEAD PSYCHOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-17",
        "last_updated": "2014-11-17",
        "status": "A",
        "authorized_official_last_name": "MEAD",
        "authorized_official_first_name": "LORETTA",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "909-242-5409",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "24298",
            "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 Nov 17, 2014; 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.