INLAND EMPIRE AUTISM SPECTRUM DISORDER ASSESSMENT CENTER OF EXCELLENCE
NPI 1689031528
Clinical Neuropsychologist in San Bernardino, CA

Q: What is Inland Empire Autism Spectrum Disorder Assessment Center Of Excellence's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Active since January 22, 2016

1499 S TIPPECANOE AVE BUILDING A, SAN BERNARDINO, CA 92415(909) 799-3777(909) 799-5999 Get Directions Write a Review

NPPES record last updated: August 1, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 13, 2019, Jan 22, 2016 (2 updates tracked since 2016).

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About Inland Empire Autism Spectrum Disorder Assessment Center Of Excellence NPPES

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

INLAND EMPIRE AUTISM SPECTRUM DISORDER ASSESSMENT CENTER OF EXCELLENCE (NPI 1689031528) is a healthcare organization registered as a clinical neuropsychologist in San Bernardino, California and active in the NPI registry since January 2016. The organization maintains a secondary practice location in Riverside and lists Zachary Dane Ginder, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1689031528

Entity TypeOrganization

Primary Taxonomy103G00000X

Legal Business NameINLAND EMPIRE AUTISM SPECTRUM DISORDER ASSESSMENT CENTER OF EXCELLENCE

Location Address1499 S TIPPECANOE AVE BUILDING ASan Bernardino, CA 92415-0024

Mailing Address1499 S Tippecanoe Ave Bldg ASan Bernardino, CA 92408-2920 · (909) 799-3777 · Fax (909) 799-5999

Phone(909) 799-3777

Fax(909) 799-5999

Organization SubpartNo

Authorized OfficialZachary Dane GinderExecutive Director · (909) 799-3777

Enumeration DateJanuary 22, 2016

Last NPPES UpdateAugust 1, 20232 updates tracked since enumeration

NPPES CertifiedAugust 1, 2023

✔ NPI 1689031528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in CA · PSY24993

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

Also ListedPsychologistTaxonomy 103T00000X · License PSY15160 (CA), PSY23181 (CA), PSY25134 (CA)

Also ListedSpecialistTaxonomy 174400000X · License G46919 (CA), A118211 (CA), A239458 (CA)

Also ListedOccupational TherapistTaxonomy 225X00000X · License 2683 (CA)

1499 S TIPPECANOE AVE BUILDING A, San Bernardino, CA 92415

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Secondary Practice Location 1

Location 119314 Jesse Ln Ste 200Riverside, CA 92508-5070 · Phone (909) 799-3777 · Fax (909) 799-5999

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Inland Empire Autism Spectrum Disorder Assessment Center Of Excellence's NPI number?

The NPI number for Inland Empire Autism Spectrum Disorder Assessment Center Of Excellence is 1689031528. It was assigned to this organization in the NPPES registry on January 22, 2016.

Where is Inland Empire Autism Spectrum Disorder Assessment Center Of Excellence located?

Inland Empire Autism Spectrum Disorder Assessment Center Of Excellence is located at 1499 S Tippecanoe Ave Building A, San Bernardino, CA 92415. The listed phone number is (909) 799-3777.

What is Inland Empire Autism Spectrum Disorder Assessment Center Of Excellence's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

When was this NPI record last updated?

The NPPES record for Inland Empire Autism Spectrum Disorder Assessment Center Of Excellence was last updated on August 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.