Organization Active NPI

Lusk Psychological Services, Inc.

Doing business as Sanders Psychological Services

  • Clinical Psychologist
  • Upland, CA
National Provider Identifier
1982737458
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY8288 Issued in CA
Legal business name
LUSK PSYCHOLOGICAL SERVICES, INC.
Doing business as
Sanders Psychological Services
Practice address
225 N Euclid Ave
Upland, CA 91786-6038
Phone
(909) 626-5589
Fax
(909) 217-7537
NPI assigned
Mar 14, 2007
Last updated
Jan 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Authorized official

Name
Dr. Barbara Lynn Sanders, PSY.D.NPI 1013423904
Title
Director
Phone
(909) 626-5589

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
Clinical Psychologist 103TC0700X PSY8288 CA Primary

Addresses

Primary practice location

225 N Euclid Ave
Upland, CA 91786-6038

Mailing address

225 N Euclid Ave
Upland, CA 91786-6038
Phone (909) 626-5589

Other practice location 1

954 N Amelia Ave
Ste B-4
San Dimas, CA 91773-1407
Phone (909) 626-5589

Other names 1

  • Sanders Psychological Services Doing business as

National Provider Directory

National Provider Directory

Locations

954 N Amelia Ave
Ste B4
San Dimas, CA 91773
Phone (909) 626-5589

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": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673308800000",
    "number": "1982737458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 N EUCLID AVE",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917866038",
            "telephone_number": "909-626-5589",
            "fax_number": "909-217-7537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 N EUCLID AVE",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917866038",
            "telephone_number": "909-626-5589",
            "fax_number": "909-217-7537"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "954 N Amelia Ave",
            "address_2": "Ste B-4",
            "address_purpose": "LOCATION",
            "city": "San Dimas",
            "state": "CA",
            "postal_code": "917731407",
            "country_code": "US",
            "telephone_number": "909-626-5589",
            "fax_number": "909-217-7537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LUSK PSYCHOLOGICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "909-626-5589",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY8288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sanders Psychological Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sanders Psychological Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; 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.