FOOTHILLS NEUROCARE
NPI 1245821743
Clinical Neuropsychologist in Glendora, CA

Active since January 28, 2021
1145 S GRAND AVE, GLENDORA, CA 91740(909) 394-1667(909) 575-4783 Get Directions Write a Review

NPPES record last updated: May 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 6, 2024, May 23, 2023, Jan 28, 2021 (3 updates tracked since 2021).

About Foothills Neurocare NPPES

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

FOOTHILLS NEUROCARE (NPI 1245821743) is a healthcare organization registered as a clinical neuropsychologist in Glendora, California and active in the NPI registry since January 2021. The organization lists Stacey M Bayan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1245821743
Entity TypeOrganization
Primary Taxonomy103G00000X
Legal Business NameFOOTHILLS NEUROCARE, A PSYCHOLOGICAL CORPORATION
Location Address1145 S GRAND AVEGlendora, CA 91740-5013
Mailing Address1145 S Grand AveGlendora, CA 91740-5013 · (909) 394-1667 · Fax (909) 575-4783
Fax(909) 575-4783
Organization SubpartNo
Authorized OfficialStacey M BayanCeo · (626) 260-5468
Enumeration DateJanuary 28, 2021
Last NPPES UpdateMay 6, 20243 updates tracked since enumeration
NPPES CertifiedMay 6, 2024
NPI 1245821743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
1145 S GRAND AVE, Glendora, CA 91740

Other Names 1

Doing Business AsFoothills Neurocare

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

Clinical Neuropsychologist
1145 S GRAND AVE
GLENDORA, CA 91740
Psychologist (Cognitive & Behavioral)
1145 S GRAND AVE
GLENDORA, CA 91740

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 Foothills Neurocare, A Psychological Corporation's NPI number?

The NPI number for Foothills Neurocare, A Psychological Corporation is 1245821743. It was assigned to this organization in the NPPES registry on January 28, 2021. The provider is doing business as Foothills Neurocare.

Where is Foothills Neurocare, A Psychological Corporation located?

Foothills Neurocare, A Psychological Corporation is located at 1145 S Grand Ave, Glendora, CA 91740. The listed phone number is (909) 394-1667.

What is Foothills Neurocare, A Psychological Corporation's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

When was this NPI record last updated?

The NPPES record for Foothills Neurocare, A Psychological Corporation was last updated on May 6, 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.