REDLANDS PSYCHOLOGICAL SERVICES
NPI 1669717922
Psychologist - Clinical in Redlands, CA
NPI Status: Active since November 27, 2012
Contact Information
104 E OLIVE AVE STE 100
REDLANDS, CA
ZIP 92373
Phone: (909) 327-2735
Fax: (909) 327-2735
- Organization
- Psychologist
- Clinical
- CLIA Number: 05D0574087
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 02-27-2027
About REDLANDS PSYCHOLOGICAL SERVICES
This page provides the complete NPI Profile along with additional information for Redlands Psychological Services, a provider established in Redlands, California operating as a Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1669717922 assigned on November 2012. The practitioner's primary taxonomy code is 103TC0700X with license number PSY 23630 (CA). The provider is registered as an organization and their NPI record was last updated 11 years ago. Redlands Psychological Services operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Glenn Potts M.div., Phd (Owner/ Psychologist)
- NPI
- 1669717922
- Provider Name
- REDLANDS PSYCHOLOGICAL SERVICES
- Entity Type
- Organization
- Location Address
- 104 E OLIVE AVE STE 100 REDLANDS, CA 92373
- Location Phone
- (909) 327-2735
- Location Fax
- (909) 327-2735
- Mailing Address
- 104 E OLIVE AVE STE 100 REDLANDS, CA 92373
- Mailing Phone
- (909) 327-2735
- Mailing Fax
- (909) 327-2735
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-27-2012
- Last Update Date
- 03-26-2015
- Code Navigator
A clinical psychologist like Redlands Psychological Services assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist Clinical
- Taxonomy Code
- 103TC0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- PSY 23630
- License State
- CA
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 103TP0814X | Behavioral Health & Social Service Providers | Psychologist | PSY 23630 (CA) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D0574087
- Facility Type
- Hospital
- Certificate Effective Date
- February 28, 2025
- Certificate Expiration Date
- February 27, 2027
- Laboratory Director
- DR. JEFFREY B. VIRGIN
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Redlands Psychological Services on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1669717922, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 68 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
REDLANDS, CA 92373
REDLANDS, CA 92373
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1669717922, enumerated as an "organization" on November 27, 2012.
The provider is located at 104 E OLIVE AVE STE 100 REDLANDS, CA 92373 and the phone number is (909) 327-2735.
Psychologist with taxonomy code 103TC0700X and a focus in Clinical.
