Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Q: What is Georgina Lamphere Sullivan's NPI number?

The NPI number for Georgina Lamphere Sullivan is 1487633616. It was assigned to this individual provider in the NPPES registry on January 16, 2006. The provider is also known as Dr. Georgina Ines Lamphere Phd.

Q: What is Georgina Lamphere Sullivan's specialty?

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

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: August 9, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 9, 2026, May 20, 2019 (2 updates tracked since 2019).

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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

Phone(909) 987-1997

Fax(909) 978-0993

Sole ProprietorYes

Medical School CMSOtherGraduated 1985

Enumeration DateJanuary 16, 2006

Last NPPES UpdateAugust 9, 20262 updates tracked since enumeration

✔ 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

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Other Names 1

Other Name (5)Dr. Georgina Ines Lamphere Phd

Other Identifiers 1

OtherPSY 10649CA · Ph.d. License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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.

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Community/Behavioral Health