Psychological and Substance Abuse Services, Inc
NPI 1073074209ActiveOrganization· Psychologist, Clinical· Moreno Valley, CA
Psychologist, Clinical in Moreno Valley, California, registered in NPPES in March 2019. The authorized official on file is Ta Tanisha Jones, PSY.D., Licensed Psychologist, Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1073074209 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 29, 2019 |
| Last updated in NPPES | Dec 7, 2023 |
| Certified by provider | Dec 7, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | — | — |
| Psychologist, Addiction (Substance Use Disorder) | 103TA0400X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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