NPIMap

Organization Active NPI

Redlands Therapy Group

  • Clinical Psychologist
  • Redlands, CA
National Provider Identifier
1992949754
Registry record updated Apr 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY7061 Issued in CA
Legal business name
REDLANDS THERAPY GROUP
Practice address
222 E Olive Ave
Suite 7
Redlands, CA 92373-5268
Phone
(909) 798-7711
Fax
(909) 798-5188
NPI assigned
Apr 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2009

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

Authorized official

Name
Dr. Michael H. Sieck, PHD
Title
Director
Phone
(909) 798-7711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PY7061 CA Primary

Addresses

Primary practice location

222 E Olive Ave
Suite 7
Redlands, CA 92373-5268

Mailing address

222 E Olive Ave
Suite 7
Redlands, CA 92373-5268
Phone (909) 798-7711

National Provider Directory

National Provider Directory

Locations

222 E Olive Ave
Ste 7
Redlands, CA 92373
Phone (909) 789-7711

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1240444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240444800000",
    "number": "1992949754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 E OLIVE AVE",
            "address_2": "SUITE 7",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923735268",
            "telephone_number": "909-798-7711",
            "fax_number": "909-798-5188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 E OLIVE AVE",
            "address_2": "SUITE 7",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923735268",
            "telephone_number": "909-798-7711",
            "fax_number": "909-798-5188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDLANDS THERAPY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-23",
        "last_updated": "2009-04-23",
        "status": "A",
        "authorized_official_last_name": "SIECK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "909-798-7711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PY7061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2009; 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.