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Deactivated NPI 1669539177 Deactivated / Inactive NPI Male Practitioner

Dr. Eugene A. Carlson , PhD

Psychologist • Rancho Cucamonga, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Eugene Carlson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 03, 2007
NPI Deactivation Date January 04, 2023
Total Practice Duration ~16 Years of Practice (2007 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Eugene Carlson, PhD was a registered Psychologist practicing in Rancho Cucamonga, CA. Throughout an active medical career spanning 16 years, Dr. Carlson provided care at the practice location at 10630 TOWN CENTER DR STE 124 until profile deactivation on 2023-01-04.

Practice Location & Contact Primary Location

Practice Address

10630 Town Center Dr Ste 124

Rancho Cucamonga, CA 917306889

Telephone 9099807655
Fax 9099488899

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Rancho Cucamonga, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 29.5 Yrs
State Avg: 24.2 Yrs
Regional Practice Density
28 Specialists

Practicing in Rancho Cucamonga, CA (7695 Statewide)

Telehealth Adoption Rate
7.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License CA PSY9237

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. James Grace , PhD

Psychologist - Clinical

NPI 1396801304

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
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NPI Profile Deactivated January 04, 2023

Record deactivated on January 04, 2023

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 19, 2022

Psychologist (License #PSY9237 in CA)

NPI Profile Active December 05, 2011

NPI status registered as active in NPPES database

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Updated Practice Location December 05, 2011

Registered at 10630 TOWN CENTER DR STE 124, RANCHO CUCAMONGA, CA 917306889 (Tel: 9099807655)

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Updated Business Mailing Address December 05, 2011

Registered at 10630 TOWN CENTER DR STE 124, RANCHO CUCAMONGA, CA 917306889 (Tel: 9099807655)

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Provider Name / Credentials Updated December 05, 2011

Recorded as EUGENE CARLSON, PH.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 05, 2011

Psychologist (License #PSY9237 in CA)

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Initial NPI Registration & Enumeration January 03, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1669539177
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 03, 2007
Last Update: December 05, 2011
Deactivation Date: January 04, 2023

Mailing Address

10630 Town Center Dr Ste 124

Rancho Cucamonga, CA 917306889

Phone: 9099807655

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.