NPIMap

Organization Active NPI

California Healing Horizons

  • Clinic/Center
  • Riverside, CA
National Provider Identifier
1932930120
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CALIFORNIA HEALING HORIZONS
Practice address
1650 Spruce St Ste 240
Riverside, CA 92507-7403
Phone
(909) 856-5904
NPI assigned
Aug 9, 2024
Last updated
Aug 9, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
ILLUMINATING PSYCHOLOGICAL SERVICES CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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

Authorized official

Name
Dr. Ina CreekbaumNPI 1528522216
Title
Ceo
Phone
(909) 856-5904

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

1650 Spruce St Ste 240
Riverside, CA 92507-7403

Mailing address

967 Kendall Dr Ste a-515
San Bernardino, CA 92407-4306
Phone (909) 856-5904

Other names 1

  • Illuminating Psychological Services Other name

National Provider Directory

National Provider Directory
Part of
Illuminating Psychological

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 3

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": "1723161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723161600000",
    "number": "1932930120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "967 KENDALL DR STE A-515",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924074306",
            "telephone_number": "909-856-5904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 SPRUCE ST STE 240",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925077403",
            "telephone_number": "909-856-5904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA HEALING HORIZONS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ILLUMINATING PSYCHOLOGICAL SERVICES CORPORATION",
        "enumeration_date": "2024-08-09",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A",
        "authorized_official_last_name": "CREEKBAUM",
        "authorized_official_first_name": "INA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-856-5904",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Illuminating Psychological Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Aug 9, 2024; 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.