LOMIBAO PSYCHOLOGICAL SERVICES PC
NPI 1467217588
Psychologist - Clinical in Elk Grove, CA

Active since February 19, 2024
8788 ELK GROVE BLVD, ELK GROVE, CA 95624(916) 509-1415(916) 273-9757 Get Directions Write a Review

NPPES record last updated: February 19, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lomibao Psychological Services Pc NPPES

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

LOMIBAO PSYCHOLOGICAL SERVICES PC (NPI 1467217588) is a healthcare organization registered as a clinical in Elk Grove, California and active in the NPI registry since February 2024. The organization lists Madaline Lomibao, Ceo/clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1467217588
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameLOMIBAO PSYCHOLOGICAL SERVICES PC
Location Address8788 ELK GROVE BLVDElk Grove, CA 95624-1766
Mailing AddressPo Box 582602Elk Grove, CA 95758-0044 · (916) 509-1415 · Fax (916) 273-9757
Fax(916) 273-9757
Organization SubpartNo
Authorized OfficialMadaline LomibaoCeo/clinical Psychologist · (916) 509-1415
Enumeration DateFebruary 19, 2024
NPPES CertifiedFebruary 17, 2024
✔ NPI 1467217588 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.
8788 ELK GROVE BLVD, Elk Grove, CA 95624

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lomibao Psychological Services 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 Lomibao Psychological Services PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1316472046
4001 CA-104
Ione, CA 95640
(209) 274-4911
✔ PECOS23 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 Lomibao Psychological Services PC's NPI number?

The NPI number for Lomibao Psychological Services PC is 1467217588. It was assigned to this organization in the NPPES registry on February 19, 2024.

Where is Lomibao Psychological Services PC located?

Lomibao Psychological Services PC is located at 8788 Elk Grove Blvd, Elk Grove, CA 95624. The listed phone number is (916) 509-1415.

What is Lomibao Psychological Services PC's specialty?

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

Is Lomibao Psychological Services PC enrolled in Medicare?

Yes. Lomibao Psychological Services PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lomibao Psychological Services PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Lomibao Psychological Services 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 Lomibao Psychological Services PC was last updated on February 19, 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.