NICK B ANDONOV PHD
NPI 1720127921
Psychologist - Clinical in San Bernardino, CA

Active since February 05, 2007
2380 N SIERRA WAY, SAN BERNARDINO, CA 92405(909) 883-5977(909) 881-4070 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nick B Andonov Phd NPPES

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

NICK B ANDONOV PHD (NPI 1720127921) is an individual clinical provider in San Bernardino, California, licensed in California (PSY4792) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1720127921
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameNICK B ANDONOVCredential: PHD
Location Address2380 N SIERRA WAYSan Bernardino, CA 92405-3546
Mailing Address2380 N Sierra WaySan Bernardino, CA 92405-3546 · (909) 883-5977 · Fax (909) 881-4070
Fax(909) 881-4070
Sole ProprietorNo
Enumeration DateFebruary 5, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1720127921 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 · PSY4792
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.
2380 N SIERRA WAY, San Bernardino, CA 92405

Other Identifiers 3

Medicare UPINR26051
Medicaid00PL47920CA
Medicare ID-Type Unspecified00PL47920CA

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 Nick Andonov's NPI number?

The NPI number for Nick Andonov is 1720127921. It was assigned to this individual provider in the NPPES registry on February 5, 2007.

Where is Nick Andonov located?

Nick Andonov practices at 2380 N Sierra Way, San Bernardino, CA 92405. The listed phone number is (909) 883-5977.

What is Nick Andonov's specialty?

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

When was this NPI record last updated?

The NPPES record for Nick Andonov was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.