DR. GEORGINA INES LAMPHERE SULLIVAN PHD
NPI 1487633616
Psychologist - Clinical in Rancho Cucamonga, CA

Active since January 16, 2006PECOS EnrolledAccepts Medicare Assignment
8253 WHITE OAK AVE, RANCHO CUCAMONGA, CA 91730(909) 987-1997(909) 978-0993 Get Directions Write a Review

NPPES record last updated: May 20, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Georgina Ines Lamphere Sullivan Phd NPPES

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

DR. GEORGINA INES LAMPHERE SULLIVAN PHD (NPI 1487633616) is an individual clinical provider in Rancho Cucamonga, California, licensed in California (PSY 10649) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1985).

NPPES Registry Identity

NPI1487633616
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. GEORGINA INES LAMPHERE SULLIVANCredential: PHD
Location Address8253 WHITE OAK AVERancho Cucamonga, CA 91730-7671
Mailing Address8253 White Oak AveRancho Cucamonga, CA 91730-7671 · (909) 987-1997 · Fax (909) 978-0993
Fax(909) 978-0993
Sole ProprietorYes
Medical School CMSOtherGraduated 1985
Enumeration DateJanuary 16, 2006
Last NPPES UpdateMay 20, 2019
NPI 1487633616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in CA · PSY 10649
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.

8253 WHITE OAK AVE, Rancho Cucamonga, CA 91730

Other Names 1

Other Name (5)Dr. Georgina Ines Lamphere Phd

Other Identifiers 1

OtherPSY 10649CA · Ph.d. License

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Georgina Ines Lamphere Sullivan Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID345270062
PECOS Enrollment IDI20050812000614
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91730 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$179.42 typical visit price
range $59.60 – $179.42
Typical copayment $44.85 (range $14.90 – $44.85)
Most-billed visit code 99205
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Psychologist (Clinical)
8253 WHITE OAK AVE
RANCHO CUCAMONGA, CA 91730
Social Worker (Clinical)
8253 WHITE OAK AVE
RANCHO CUCAMONGA, CA 91730
Psychologist
8253 WHITE OAK AVE
RANCHO CUCAMONGA, CA 91730
Psychologist (Clinical)
8253 WHITE OAK AVE
RANCHO CUCAMONGA, CA 91730
Marriage & Family Therapist
8253 WHITE OAK AVE
RANCHO CUCAMONGA, CA 91730
Counselor (Mental Health)
8253 WHITE OAK AVE
RANCHO CUCAMONGA, CA 91730
Psychiatry & Neurology (Psychiatry)
8253 WHITE OAK AVE
RANCHO CUCAMONGA, CA 91730
Social Worker (Clinical)
8253 WHITE OAK AVE
RANCHO CUCAMONGA, CA 91730

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487633616, enumerated as an "individual" on January 16, 2006.

The provider is located at 8253 WHITE OAK AVE RANCHO CUCAMONGA, CA 91730 and the phone number is (909) 987-1997.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.

The provider might be accepting Accepts: Providence Health Plan, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.