IndividualActive
Jonathan Dougherty, PSYD
NPI 1114762853 · Psychologist · Loma Linda, CA
Provider details
- NPI number
- 1114762853
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PSYD
- Sex
- Male
- Sole proprietor
- No
- License
- 35378 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
- Health Psychologist103TH0004X
Behavioral Health & Social Service Providers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11201 Benton St
Loma Linda, CA 92357-1000
Phone: (909) 825-7084
Street-level locationGet directions
Mailing address
20335 Damietta Dr
Walnut, CA 91789-3723
Registry dates
- Enumerated
- 2024-06-25
- Last updated
- 2026-01-28
- Certified
- 2026-01-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.