PSYCHOLOGICAL AND SUBSTANCE ABUSE SERVICES, INC
NPI 1073074209
Psychologist - Clinical in Moreno Valley, CA

Q: What is Psychological And Substance Abuse Services, Inc's specialty?

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

Active since March 29, 2019

21250 BOX SPRINGS RD STE 201, MORENO VALLEY, CA 92557(951) 335-5858(951) 335-5870 Get Directions Write a Review

NPPES record last updated: December 7, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 7, 2023, Feb 12, 2020, Nov 7, 2019 (3 updates tracked since 2019).

On this page

About Psychological And Substance Abuse Services, Inc NPPES

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

PSYCHOLOGICAL AND SUBSTANCE ABUSE SERVICES, INC (NPI 1073074209) is a healthcare organization registered as a clinical in Moreno Valley, California and active in the NPI registry since March 2019. The organization lists Ta Tanisha Jones, Licensed Psychologist, Director, as its authorized official.

NPPES Registry Identity

NPI1073074209

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NamePSYCHOLOGICAL AND SUBSTANCE ABUSE SERVICES, INC

Location Address21250 BOX SPRINGS RD STE 201Moreno Valley, CA 92557-8712

Mailing Address6185 Magnolia Ave, #224Riverside, CA 92506

Phone(951) 335-5858

Fax(951) 335-5870

Organization SubpartNo

Authorized OfficialTa Tanisha JonesLicensed Psychologist, Director · (951) 505-4234

Enumeration DateMarch 29, 2019

Last NPPES UpdateDecember 7, 20233 updates tracked since enumeration

NPPES CertifiedDecember 7, 2023

✔ NPI 1073074209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedPsychologist · Addiction (Substance Use Disorder)Taxonomy 103TA0400X

21250 BOX SPRINGS RD STE 201, Moreno Valley, CA 92557

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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)

Psychological And Substance Abuse Services, Inc 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 Psychological And Substance Abuse Services, Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ta Tanisha Jones, PSYD

Clinical Psychologist

NPI 1184112179

21250 BOX SPRINGS RD STE 201
Moreno Valley, CA 92557

(951) 335-5858

✔ PECOS✔ Accepts MedicareSame address

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 Psychological And Substance Abuse Services, Inc's NPI number?

The NPI number for Psychological And Substance Abuse Services, Inc is 1073074209. It was assigned to this organization in the NPPES registry on March 29, 2019.

Where is Psychological And Substance Abuse Services, Inc located?

Psychological And Substance Abuse Services, Inc is located at 21250 Box Springs Rd Ste 201, Moreno Valley, CA 92557. The listed phone number is (951) 335-5858.

What is Psychological And Substance Abuse Services, Inc's specialty?

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

Is Psychological And Substance Abuse Services, Inc enrolled in Medicare?

Yes. Psychological And Substance Abuse Services, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Psychological And Substance Abuse Services, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Psychological And Substance Abuse Services, Inc. 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 Psychological And Substance Abuse Services, Inc was last updated on December 7, 2023. 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.