| Illuminating Psychological Services Corporation | |
|
1650 Spruce St Ste 240 Riverside CA 92507-7403 | |
| (951) 981-2383 | |
| (855) 595-2795 |
| Full Name | Illuminating Psychological Services Corporation |
|---|---|
| Speciality | Psychologist |
| Location | 1650 Spruce St Ste 240, Riverside, California |
| Authorized Official Name and Position | Ina J Creekbaum (OWNER) |
| Authorized Official Contact | 9098565904 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Illuminating Psychological Services Corporation 967 Kendall Dr Ste A515 San Bernardino CA 92407-4306 Ph: (951) 981-2383 | Illuminating Psychological Services Corporation 1650 Spruce St Ste 240 Riverside CA 92507-7403 Ph: (951) 981-2383 |
| NPI Number | 1861090441 |
|---|---|
| Provider Enumeration Date | 10/15/2020 |
| Last Update Date | 03/14/2025 |
| Certification Date | 03/14/2025 |
| Medicare PECOS PAC ID | 2860806817 |
|---|---|
| Medicare Enrollment ID | O20210202002764 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861090441 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
| Provider Name | Roberto J Vado |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740601228 PECOS PAC ID: 9739481490 Enrollment ID: I20160112002226 |
| Provider Name | Ina J Creekbaum |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528522216 PECOS PAC ID: 3072854736 Enrollment ID: I20190405000236 |
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