CSUSB STUDENT HEALTH AND PSYCHOLOGICAL COUNSELING CENTER
NPI 1730205154
Clinic/Center - Student Health in San Bernardino, CA

Q: What is California State University San Bernardino's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Student Health, with taxonomy code 261QS1000X.

Active since March 21, 2007CLIA 05D0886041 · Microscopy

5500 UNIVERSITY PKWY, STUDENT HEALTH CENTER, SAN BERNARDINO, CA 92407(909) 537-3295(909) 537-7027 Get Directions Write a Review

NPPES record last updated: February 1, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Csusb Student Health And Psychological Counseling Center NPPES

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

CSUSB STUDENT HEALTH AND PSYCHOLOGICAL COUNSELING CENTER (NPI 1730205154) is a healthcare organization registered as a student health in San Bernardino, California and active in the NPI registry since March 2007. The organization holds a CLIA Microscopy certificate valid through September 25, 2027, maintains a secondary practice location in Palm Desert, and lists Beth Jaworski, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1730205154

Entity TypeOrganization

Primary Taxonomy261QS1000X

Legal Business NameCALIFORNIA STATE UNIVERSITY SAN BERNARDINO

Location Address5500 UNIVERSITY PKWY, STUDENT HEALTH CENTERSan Bernardino, CA 92407-2318

Mailing Address37500 Cook StPalm Desert, CA 92211-2900 · (909) 289-2965 · Fax (909) 537-7027

Phone(909) 537-3295

Fax(909) 537-7027

Organization SubpartYes

Authorized OfficialBeth JaworskiExecutive Director · (909) 537-3070

Enumeration DateMarch 21, 2007

Last NPPES UpdateFebruary 1, 2024

NPPES CertifiedJanuary 2, 2024

✔ NPI 1730205154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Student HealthAmbulatory Health Care Facilities

Taxonomy Code261QS1000X

5500 UNIVERSITY PKWY, San Bernardino, CA 92407

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Other Names 2

Other NameCsusb Student Health And Psychological Counseling Center

Other NameCalifornia State University, San Bernardino, Palm Desert Campus

Secondary Practice Location 1

Location 137500 Cook StPalm Desert, CA 92211-2900 · Phone (909) 289-2965

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D0886041

California State University San Bernardino Student Health Center · San Bernardino, CA

Active · expires Sep 25, 2027

CLIA Number05D0886041

Laboratory TypeSchool/Student Health Service

Certificate Effective DateSeptember 26, 2025

Certificate Expiration DateSeptember 25, 2027

Laboratory DirectorRichelle K. Marracino

Laboratory Phone(909) 537-3276

Laboratory LocationCalifornia State University San Bernardino Student Health Center5500 University Parkway, San Bernardino, CA 92407

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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.

MAKAYLA ANDERSON

Behavior Technician