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JACK CUSATOR LMFT; PSYD
NPI 1619331840
Marriage & Family Therapist in Rancho Cucamonga, CA

Active since April 13, 2016
9500 ETIWANDA AVE, RANCHO CUCAMONGA, CA 91739(909) 436-5116 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jack Cusator Lmft; Psyd NPPES

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

JACK CUSATOR LMFT; PSYD (NPI 1619331840) is an individual marriage & family therapist in Rancho Cucamonga, California, licensed in California (37701) and active in the NPI registry since April 2016.

NPPES Registry Identity

NPI1619331840
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameJACK CUSATORCredential: LMFT; PSYD
Location Address9500 ETIWANDA AVERancho Cucamonga, CA 91739-9662
Mailing Address651 Sungate Dr Apt 278Corona, CA 92879-6598
Phone(909) 436-5116
Sole ProprietorYes
Enumeration DateApril 13, 2016
Last NPPES UpdateFebruary 11, 2022
✔ NPI 1619331840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 37701
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
9500 ETIWANDA AVE, Rancho Cucamonga, CA 91739
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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.

MISS SANDRA ALCANTAR
Social Worker (Clinical)
9500 ETIWANDA AVE
RANCHO CUCAMONGA, CA 91739
San Bernardino County (909) 463-5284
MR. WILLIAM RANDOLPH GAUSE N.P.
Nurse Practitioner
9500 ETIWANDA AVE
RANCHO CUCAMONGA, CA 91739
San Bernardino County (909) 463-5003
DR. STACEY WARING PSY.D.
Psychologist (Forensic)
9500 ETIWANDA AVE
RANCHO CUCAMONGA, CA 91739
San Bernardino County (909) 463-5179
PHYLICIA SMITH
Licensed Psychiatric Technician
9500 ETIWANDA AVE
RANCHO CUCAMONGA, CA 91739
San Bernardino County (909) 463-5234
FILLMORE LEWIS SMILEY IV
Behavior Analyst
9500 ETIWANDA AVE
RANCHO CUCAMONGA, CA 91739
San Bernardino County (909) 463-5214
MR. JOEL MARTINEZ
Counselor (Mental Health)
9500 ETIWANDA AVE
RANCHO CUCAMONGA, CA 91739
San Bernardino County (909) 463-5392
DR. ERIKA KRISTEN WIDERA PSY.D.
Psychologist
9500 ETIWANDA AVE
RANCHO CUCAMONGA, CA 91739
San Bernardino County (909) 463-5196
GARTH BROWN DDS
Dentist (General Practice)
9500 ETIWANDA AVE
RANCHO CUCAMONGA, CA 91739
San Bernardino County (909) 463-5088

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 Jack Cusator's NPI number?

The NPI number for Jack Cusator is 1619331840. It was assigned to this individual provider in the NPPES registry on April 13, 2016.

Where is Jack Cusator located?

Jack Cusator practices at 9500 Etiwanda Ave, Rancho Cucamonga, CA 91739. The listed phone number is (909) 436-5116.

What is Jack Cusator's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Jack Cusator was last updated on February 11, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.