About
Travis Fogel is a Clinical Neuropsychologist in Loma Linda, California. He graduated in 1999. He has over 17 years of experience. He is affiliated with Faculty Physicians And Surgeons Of Llusm. Travis Fogel is a group member of Faculty Physicians And Surgeons Of Llusm. Contact Travis Fogel to request his Medicare information, payment methods he accepts, or to book an appointment.
Basic Data
PECOS ID: 2668505371
Entity Type: Individual; Not Sole Proprietor
Accepts Med Assignment: He does accept the payment amount Medicare approves and not to bill you for more than the Medicare deductible and coinsurance.
Organization Name: Faculty Physicians And Surgeons Of Llusm
Years in Practice
17 years
Healthcare Provider Taxonomy
- Code: 103G00000X
- Grouping: Behavioral Health & Social Service Providers
- Classification: Clinical Neuropsychologist
Credentials
- Doctor of Philosophy (PHD)
HCPCS Codes
Healthcare Common Procedure Coding System (HCPCS) codes commonly used by this therapist.
| Code |
Code Description |
Service Count |
Beneficiary Count |
| 96132 |
Neuropsychological testing evaluation by qualified health care professional, first 60 minutes |
21 |
19
|
Group Practices
Group practices this therapist belongs to includes:
| Faculty Physicians And Surgeons Of Llusm |
| Address |
11234 Anderson St |
|
Loma Linda, CA 92354-2804 |
| Group PAC ID |
1153227814 |
| Group Members |
1085 |
| Faculty Physicians And Surgeons Of Llusm |
| Address |
11406 Loma Linda Dr |
|
Suite 300 |
|
Loma Linda, CA 92354-3711 |
| Group PAC ID |
1153227814 |
| Group Members |
1085 |
Licenses
| Name |
License Number |
State |
| Clinical Neuropsychologist |
PSY17746 Verify
|
CA |
Practice Locations
11406 Loma Linda Dr
Loma Linda, CA 92354-3711
Phone Number: (909) 558-6144
Fax Number: (909) 558-3905
11234 Anderson St
Loma Linda, CA 92354-2804
Therapists Near Loma Linda, CA
Renee J. Willis
Master of Social Work (MSW)
Licensed Clinical Social Worker (LCSW)
