MAGNOLIA PSYCHOLOGICAL ASSESSMENT & THERAPY CENTER, PC
NPI 1043057177
Psychologist - Clinical in Hesperia, CA

Q: What is Magnolia Psychological Assessment & Therapy Center, PC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since July 15, 2024

12021 JACARANDA AVE STE 201E, HESPERIA, CA 92345(760) 454-6817 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Magnolia Psychological Assessment & Therapy Center, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAGNOLIA PSYCHOLOGICAL ASSESSMENT & THERAPY CENTER, PC (NPI 1043057177) is a healthcare organization registered as a clinical in Hesperia, California and active in the NPI registry since July 2024. The organization lists Rita Ogunlana, Owner, as its authorized official.

NPPES Registry Identity

NPI1043057177

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameMAGNOLIA PSYCHOLOGICAL ASSESSMENT & THERAPY CENTER, PC

Location Address12021 JACARANDA AVE STE 201EHesperia, CA 92345-4978

Mailing Address12021 Jacaranda Ave Ste 201eHesperia, CA 92345-4978 · (760) 454-6817

Phone(760) 454-6817

Organization SubpartNo

Authorized OfficialRita OgunlanaOwner · (760) 454-6817

Enumeration DateJuly 15, 2024

NPPES CertifiedJuly 15, 2024

✔ NPI 1043057177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

12021 JACARANDA AVE STE 201E, Hesperia, CA 92345

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Magnolia Psychological Assessment & Therapy Center, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Magnolia Psychological Assessment & Therapy Center, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Rita Ogunlana, PSY.D

Clinical Psychologist

NPI 1730752395

15434 W SAGE ST
Victorville, CA 92392

(760) 563-2875

✔ PECOS✔ Accepts Medicare4.7 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Magnolia Psychological Assessment & Therapy Center, PC's NPI number?

The NPI number for Magnolia Psychological Assessment & Therapy Center, PC is 1043057177. It was assigned to this organization in the NPPES registry on July 15, 2024.

Where is Magnolia Psychological Assessment & Therapy Center, PC located?

Magnolia Psychological Assessment & Therapy Center, PC is located at 12021 Jacaranda Ave Ste 201E, Hesperia, CA 92345. The listed phone number is (760) 454-6817.

What is Magnolia Psychological Assessment & Therapy Center, PC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Magnolia Psychological Assessment & Therapy Center, PC enrolled in Medicare?

Yes. Magnolia Psychological Assessment & Therapy Center, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Magnolia Psychological Assessment & Therapy Center, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Magnolia Psychological Assessment & Therapy Center, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Magnolia Psychological Assessment & Therapy Center, PC was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.