Individual provider Active NPI

Patricia Kathleen Hill

  • Psychologist
  • Ventura, CA
National Provider Identifier
1053645226
Registry record updated Sep 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY23010 Issued in CA
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, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
23010CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.