Active NPI
Julie S Hahn, PHD
- Clinical Psychologist
- Alpine, CA
National Provider Identifier
1124082565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY 14827
- Practice address
- 1620 Alpine Blvd
#211
Alpine, CA 91901-1102 - Phone
- (619) 445-0600
- Fax
- (866) 273-2035
- NPI assigned
- Apr 13, 2006
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY 14827 | CA | Primary |
Addresses
Primary practice location
1620 Alpine Blvd
#211
Alpine, CA 91901-1102
Mailing address
10250 Caminito Cuervo
#25
San Diego, CA 92108-1800
Phone (619) 445-0600
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 316626 | Other | CA | MHN |
| 3292336 | Medicaid | CA | |
| 0977336 | Medicaid | CA | |
| 0PL148270 | Other | CA | BLUE SHIELD |
| 0PL148271 | Other | CA | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 14827 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124082565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10250 CAMINITO CUERVO",
"address_2": "#25",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921081800",
"telephone_number": "619-445-0600",
"fax_number": "866-273-2035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1620 ALPINE BLVD",
"address_2": "#211",
"city": "ALPINE",
"state": "CA",
"postal_code": "919011102",
"telephone_number": "619-445-0600",
"fax_number": "866-273-2035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAHN",
"first_name": "JULIE",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY 14827",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN",
"identifier": "316626",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3292336",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0977336",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "0PL148270",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "0PL148271",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Alpine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.