Healthcare Provider Details

I. General information

NPI: 1043185192
Provider Name (Legal Business Name): DR. ZACHARY GINDER, PSYCHOLOGIST, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2025
Last Update Date: 10/08/2025
Certification Date: 10/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39320 OAK VIEW LN
CHERRY VALLEY CA
92223-5802
US

IV. Provider business mailing address

39320 OAK VIEW LN
CHERRY VALLEY CA
92223-5802
US

V. Phone/Fax

Practice location:
  • Phone: 818-263-2809
  • Fax:
Mailing address:
  • Phone: 818-263-2809
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. ZACHARY D GINDER
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: PSYD
Phone: 818-263-2809