Penelope J Hankin, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY13737 Issued in CA

Practice address

4901 Morena Blvd
Ste. 109
San Diego, CA 92117-3423

Phone

(858) 272-3992

Fax

(858) 272-3804

NPI assigned

Sep 29, 2008

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Vericare of California Medical Group

  • Clinical Psychologist
  • Paradise, CA
  • NPI 1316992829
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1222646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222646400000",
    "number": "1033369814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2275 W 25TH ST",
            "address_2": "#100",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907324901",
            "telephone_number": "310-519-7121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 MORENA BLVD",
            "address_2": "STE. 109",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921173423",
            "telephone_number": "858-272-3992",
            "fax_number": "858-272-3804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANKIN",
        "first_name": "PENELOPE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-29",
        "last_updated": "2008-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY13737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hanger Prosthetics & Orthotics West Inc (Hanger Clinic)
• Nicole Hangsterfer
• Hani Atallah MD PC
• Mohammed T. Hanifi, M.D.
• Tristan Hankard, PHARMACIST
• Robert Hankins II
• Amber Hankins
• Korrie Hankinson
• Kathleen April Hankla
• Arianna Hanks

• Clinical Psychologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.