Healthcare Provider Details

I. General information

NPI: 1588436836
Provider Name (Legal Business Name): INSIGHT THOUGHTS PSYCHOTHERAPY SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/30/2023
Last Update Date: 09/19/2025
Certification Date: 09/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9431 HAVEN AVE STE 100
RANCHO CUCAMONGA CA
91730-5879
US

IV. Provider business mailing address

9431 HAVEN AVE STE 100
RANCHO CUCAMONGA CA
91730-5879
US

V. Phone/Fax

Practice location:
  • Phone: 657-837-2200
  • Fax:
Mailing address:
  • Phone: 657-837-2200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. MAUDE NAZAIRE
Title or Position: PRESIDENT
Credential: LPCC
Phone: 657-837-2200