Katharine Hicks Therapy

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

KATHARINE HICKS THERAPY

Practice address

3511 Camino del Rio S Ste 205
San Diego, CA 92108-4003

Phone

(619) 786-3697

Fax

(213) 510-8559

NPI assigned

Oct 15, 2025

Organization subpart

No

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

Authorized official

Name

Katharine Caroline HicksNPI 1952764888

Title

Owner, Therapist

Phone

(619) 786-3697

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Katharine Caroline Hicks, LCSW

  • Clinical Social Worker
  • San Diego, CA
  • NPI 1952764888
  NPD Authorized official

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

{
    "created_epoch": "1760486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760486400000",
    "number": "1043186166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 CAMINO DE LA REINA # 1098",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081539",
            "telephone_number": "619-786-3697",
            "fax_number": "213-510-8559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3511 CAMINO DEL RIO S STE 205",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084003",
            "telephone_number": "619-786-3697",
            "fax_number": "213-510-8559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHARINE HICKS THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-15",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "KATHARINE",
        "authorized_official_middle_name": "CAROLINE",
        "authorized_official_title_or_position": "OWNER, THERAPIST",
        "authorized_official_telephone_number": "619-786-3697"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katayoun Afshar and Afshin Habashi Dental Corporation
• Vincent Paul Kater, M.D.
• Adam Joshua Kates
• Megan Thompson Kates, PH.D.
• Tera Kates
• Anup Katheria, M.D.
• Katherine C Tan DMD Inc
• Sulakshandan Kathireson, DC
• Kathleen J. Grace RPT Apc
• Kathrina Agatep DDS, PC

• Adolescent and Children Mental Health Clinic/Center in San Diego, CA
• Providers in San Diego, CA by specialty
• Adolescent and Children Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; 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.