Healthcare Provider Details

I. General information

NPI: 1487589487
Provider Name (Legal Business Name): CLAREMONT PSYCHOTHERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2026
Last Update Date: 06/13/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 W 1ST ST STE 314
CLAREMONT CA
91711-4741
US

IV. Provider business mailing address

250 W 1ST ST STE 314
CLAREMONT CA
91711-4741
US

V. Phone/Fax

Practice location:
  • Phone: 562-554-9737
  • Fax:
Mailing address:
  • Phone: 562-554-9737
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: PATRICK CLEVELAND LMFT
Title or Position: EXECUTIVE DIRECTOR
Credential: LMFT
Phone: 562-554-9737