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DR. THEODORE EARL SWIGART IV PH.D.
NPI 1881188845
Psychologist - Clinical in Fontana, CA

Active since June 21, 2018PECOS Enrolled
16465 SIERRA LAKES PKWY STE 140, FONTANA, CA 92336(909) 244-9593(833) 903-0337 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 7, 2024, Aug 30, 2023, Jun 21, 2018 (3 updates tracked since 2018).

About Dr. Theodore Earl Swigart Iv Ph.d. NPPES

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

DR. THEODORE EARL SWIGART IV PH.D. (NPI 1881188845) is an individual clinical provider in Fontana, California, licensed in California (PSY19842) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881188845
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. THEODORE EARL SWIGART IVCredential: PH.D.
Location Address16465 SIERRA LAKES PKWY STE 140Fontana, CA 92336-1242
Mailing Address16465 Sierra Lakes Pkwy Ste 140Fontana, CA 92336-1242 · (909) 244-9593 · Fax (833) 903-0337
Phone(909) 244-9593
Fax(833) 903-0337
Sole ProprietorNo
Enumeration DateJune 21, 2018
Last NPPES UpdateMay 7, 20243 updates tracked since enumeration
NPPES CertifiedMay 7, 2024
✔ NPI 1881188845 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 · PSY19842
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.
16465 SIERRA LAKES PKWY STE 140, Fontana, CA 92336
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Theodore Earl Swigart Iv Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Theodore Swigart reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Anthony Benigno, Psyd., Psychological Services, PC
Same address
Mental Health (Including Community Mental Health Center)
16465 SIERRA LAKES PKWY STE 140
Fontana, CA 92336
  • Reassigned Medicare billing, California enrollment
  • 7 clinicians in this Medicare group
NPI 1295202943 (909) 244-9593

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92336 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$179.42 typical visit price
range $59.60 – $179.42
Typical copayment $44.85 (range $14.90 – $44.85)
Most-billed visit code 99205
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ALEXANDRA MENDEZ PSY.D.
Psychologist (Clinical)
16465 SIERRA LAKES PKWY STE 140
FONTANA, CA 92336
San Bernardino County (909) 244-9593
DR. RANDALL LEE AHN PHD, MLIS
Psychologist (Clinical Child & Adolescent)
16465 SIERRA LAKES PKWY STE 140
FONTANA, CA 92336
San Bernardino County (909) 244-9593
DR. JANNA MARIA CASILLAS PSYD
Psychologist
16465 SIERRA LAKES PKWY STE 140
FONTANA, CA 92336
San Bernardino County (909) 244-9593
ANTHONY BENIGNO, PSYD., PSYCHOLOGICAL SERVICES, PC
Clinic/Center (Mental Health (Including Community Mental Health Center))
16465 SIERRA LAKES PKWY STE 140
FONTANA, CA 92336
San Bernardino County (909) 244-9593
DR. ANTHONY BENIGNO PSY.D.
Psychologist (Clinical)
16465 SIERRA LAKES PKWY STE 140
FONTANA, CA 92336
San Bernardino County (909) 244-9593
ASHLEY F HORIUCHI
Counselor
16465 SIERRA LAKES PKWY STE 140
FONTANA, CA 92336
San Bernardino County (909) 244-9593
MRS. KALILA JIMENEZ
Marriage & Family Therapist
16465 SIERRA LAKES PKWY STE 140
FONTANA, CA 92336
San Bernardino County (909) 244-9593
JESSICA LARA DE SANTIAGO PSY.D.
Psychologist
16465 SIERRA LAKES PKWY STE 140
FONTANA, CA 92336
San Bernardino County (909) 244-9593

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 Theodore Swigart's NPI number?

The NPI number for Theodore Swigart is 1881188845. It was assigned to this individual provider in the NPPES registry on June 21, 2018.

Where is Theodore Swigart located?

Theodore Swigart practices at 16465 Sierra Lakes Pkwy Ste 140, Fontana, CA 92336. The listed phone number is (909) 244-9593.

What is Theodore Swigart's specialty?

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

Is Theodore Swigart enrolled in Medicare?

Yes. Theodore Swigart is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Theodore Swigart's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theodore Swigart reassigns Medicare benefits to Anthony Benigno, Psyd., Psychological Services, PC (Fontana, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Theodore Swigart's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Theodore Swigart was last updated on May 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.