Active NPI
Patricia Kathleen Hill
- Psychologist
- Ventura, CA
National Provider Identifier
1053645226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY23010
- Practice address
- 2580 E Main St
100
Ventura, CA 93003-2646 - Phone
- (818) 207-5859
- Fax
- (818) 991-0534
- NPI assigned
- Sep 21, 2009
- Last updated
- Sep 22, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY23010 | CA | Primary |
Addresses
Primary practice location
2580 E Main St
100
Ventura, CA 93003-2646
Mailing address
2580 E Main St
100
Ventura, CA 93003-2646
Phone (818) 207-5859
Other names 1
- Patricia Kathleen Hill-Makitalo
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091026000475 | CA | Practitioner - Clinical Psychologist | 3072650951 | Practice locations: Westlake Village, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5655 Lindero Canyon Rd
Suite 726
Westlake Village, CA 91362-4068
Phone (818) 991-0534
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23010 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Randy Wood PHD | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Psychologist
- Ventura, CA
- NPI 1487988655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253577600000",
"number": "1053645226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2580 E MAIN ST",
"address_2": "100",
"city": "VENTURA",
"state": "CA",
"postal_code": "930032646",
"telephone_number": "818-207-5859",
"fax_number": "818-991-0534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2580 E MAIN ST",
"address_2": "100",
"city": "VENTURA",
"state": "CA",
"postal_code": "930032646",
"telephone_number": "818-207-5859",
"fax_number": "818-991-0534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILL",
"first_name": "PATRICIA",
"middle_name": "KATHLEEN",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-21",
"last_updated": "2009-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY23010",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PATRICIA",
"last_name": "HILL-MAKITALO",
"middle_name": "KATHLEEN",
"credential": "PH.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Ventura, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.