JONATHAN PATRICK DOUGHERTY PSYD
NPI 1114762853
Psychologist in Loma Linda, CA

Active since June 25, 2024
11201 BENTON ST, LOMA LINDA, CA 92357(909) 825-7084 Get Directions Write a Review

NPPES record last updated: January 28, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 28, 2026, Jun 25, 2024 (2 updates tracked since 2024).

About Jonathan Patrick Dougherty Psyd NPPES

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

JONATHAN PATRICK DOUGHERTY PSYD (NPI 1114762853) is an individual psychologist in Loma Linda, California and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1114762853
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameJONATHAN PATRICK DOUGHERTYCredential: PSYD
Location Address11201 BENTON STLoma Linda, CA 92357-1000
Mailing Address20335 Damietta DrWalnut, CA 91789-3723
Sole ProprietorNo
Enumeration DateJune 25, 2024
Last NPPES UpdateJanuary 28, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 28, 2026
NPI 1114762853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 35378 (CA)
Also ListedPsychologist · HealthTaxonomy 103TH0004X
11201 BENTON ST, Loma Linda, CA 92357

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Diagnostic Radiology)
11201 BENTON ST, VA LOMA LINDA HEALTHCARE SYSTEM - DEPT OF RADIOLOGY
LOMA LINDA, CA 92357
Social Worker (Clinical)
11201 BENTON ST
LOMA LINDA, CA 92357
Internal Medicine
11201 BENTON ST
LOMA LINDA, CA 92357
Respiratory Therapist, Registered (Pulmonary Diagnostics)
11201 BENTON ST
LOMA LINDA, CA 92357
Counselor (Mental Health)
11201 BENTON ST
LOMA LINDA, CA 92357
Psychologist (Clinical)
11201 BENTON ST
LOMA LINDA, CA 92357
Nurse Practitioner (Family)
11201 BENTON ST
LOMA LINDA, CA 92357
Registered Nurse (Emergency)
11201 BENTON ST
LOMA LINDA, CA 92357

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 Jonathan Dougherty's NPI number?

The NPI number for Jonathan Dougherty is 1114762853. It was assigned to this individual provider in the NPPES registry on June 25, 2024.

Where is Jonathan Dougherty located?

Jonathan Dougherty practices at 11201 Benton St, Loma Linda, CA 92357. The listed phone number is (909) 825-7084.

What is Jonathan Dougherty's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Jonathan Dougherty was last updated on January 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.