=====================================================
General NPI Number Information
=====================================================
NPI Number | 1528548401
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | STEPHANIE PELAYO, PSY D & COMPANY A PSYCHOLOGICAL CORP.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/20/2018
-----------------------------------------------------
Last Update Date | 01/13/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 14772 PIPELINE AVE STE D
-----------------------------------------------------
City | CHINO HILLS
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91709-6027
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 909-313-9098
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2038 HONEY BEE LN
-----------------------------------------------------
City | CHINO HILLS
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91709-2383
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 909-313-9098
-----------------------------------------------------
Fax | 909-929-2301
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER, DIRECTOR
-----------------------------------------------------
Name | DR. STEPHANIE L PELAYO
-----------------------------------------------------
Credential | PSY.D.
-----------------------------------------------------
Telephone | 909-438-8181
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QM0801X
-----------------------------------------------------
Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
-----------------------------------------------------
License Number | PSY19697
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------