National Provider Identifier Database

COAST TO COAST PSYCHOLOGICAL SERVICES
Psychologist

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.


Contact Information

COAST TO COAST PSYCHOLOGICAL SERVICES
15497 W SAND ST
VICTORVILLE, CA92392-2910
Phone: 760-875-5000
Fax: 442-327-9315
Website:
Specialty Taxonomy Code
* Psychologist 103T00000X
Clinical 103TC0700X
Clinical 1041C0700X
Clinical Child & Adolescent 103TC2200X
Cognitive & Behavioral 103TB0200X
Counseling 103TC1900X
Family 103TF0000X
Marriage & Family Therapist 106H00000X
Mental Health 101YM0800X
Prescribing (Medical) 103TP0016X

* Indicates primary specialty

NPI Profile & details for COAST TO COAST PSYCHOLOGICAL SERVICES

NPI Number 1699458570
Legal business name
LBN
COAST TO COAST PSYCHOLOGICAL SERVICES
Authorized official ERIC BAHRA - (CEO)
Entity Organization
Organization subpart No
Enumeration date 08/08/2023
Last updated 08/08/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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