Healthcare Provider Details

I. General information

NPI: 1790460087
Provider Name (Legal Business Name): SCHAEPPER PSYCHIATRY A PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2023
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

312 BROOKSIDE AVE
REDLANDS CA
92373-4608
US

IV. Provider business mailing address

312 BROOKSIDE AVE
REDLANDS CA
92373-4608
US

V. Phone/Fax

Practice location:
  • Phone: 951-271-0397
  • Fax: 909-475-6323
Mailing address:
  • Phone: 951-271-0397
  • Fax: 909-475-6323

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code246ZE0500X
TaxonomyEEG Specialist/Technologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: SERGIO ALBERTO ESTRELLA
Title or Position: CFO
Credential:
Phone: 951-271-0397