Dr. David Hahn Psychologist PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY19168 Issued in CA

Legal business name

DR. DAVID HAHN PSYCHOLOGIST PC

Practice address

1252 Broadway
Suite I
El Cajon, CA 92021-4901

Phone

(619) 917-2569

Fax

(866) 273-2035

NPI assigned

Nov 27, 2012

Last updated

Nov 27, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David Tracy Hahn, PSY.D.NPI 1881658235

Title

Owner

Phone

(619) 917-2569

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David T Hahn, PSYD

  • Clinical Psychologist
  • San Diego, CA
  • NPI 1881658235
  Medicare reassignment Authorized official
• Olivia Kozarev, LCSW

  • Clinical Social Worker
  • El Cajon, CA
  • NPI 1003211343
  NPD (past)
• Jody Saltzman, PH.D.

  • Clinical Psychologist
  • San Diego, CA
  • NPI 1932113370
  NPD (past)

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

{
    "created_epoch": "1353974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353974400000",
    "number": "1104161439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1252 BROADWAY",
            "address_2": "SUITE I",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920214901",
            "telephone_number": "619-917-2569",
            "fax_number": "866-273-2035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1252 BROADWAY",
            "address_2": "SUITE I",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920214901",
            "telephone_number": "619-917-2569",
            "fax_number": "866-273-2035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. DAVID HAHN PSYCHOLOGIST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-27",
        "last_updated": "2012-11-27",
        "status": "A",
        "authorized_official_last_name": "HAHN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "TRACY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-917-2569",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY19168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7572336",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in El Cajon, CA
• Providers in El Cajon, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.