NPI 1023990942 · live from the CMS NPI Registry
Maxine Abellanosa
Psychologist, School in Yermo, CA. National Provider Identifier 1023990942, active.
NPI record
| NPI | 1023990942 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, School 103TS0200X |
| Practice location | 35320 Daggett Yermo Rd, Yermo, CA 92398 |
| Practice phone | 760-514-6888 |
| Mailing address | 20821 Us Highway 18, Apple Valley, CA 92307 |
| Enumerated | July 22, 2025 |
| Last updated | July 22, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, School primary | 103TS0200X | 210050499 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.