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

Q: 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.

Q: What is Theodore Swigart's specialty?

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

Q: 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.

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: August 09, 2026.

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

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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, and ordering and referring status from the CMS PECOS system.

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.

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)