Organization Active NPI

Hillcrest Psychological Associates, PC

  • Psychologist
  • San Diego, CA
National Provider Identifier
1124425087
Registry record updated Jun 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
HILLCREST PSYCHOLOGICAL ASSOCIATES, PC
Practice address
3734 6TH Ave
San Diego, CA 92103-4317
Phone
(858) 442-6674
NPI assigned
Nov 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2022

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

Authorized official

Name
Erinn Elizabeth Tozer
Title
President
Phone
(858) 442-6674

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary
Community/Behavioral Health Agency 251S00000X PSY18698 CA

Addresses

Primary practice location

3734 6TH Ave
San Diego, CA 92103-4317

Mailing address

PO Box 33508
San Diego, CA 92163-3508
Phone (619) 354-7400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141229001314 CA Part B Supplier - Clinic/Group Practice 1658694518 Receives reassigned benefits from 4 practitioners
Practice locations: San Diego, CA

National Provider Directory

National Provider Directory
Tax ID family
Hillcrest Psychological Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1416441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656547200000",
    "number": "1124425087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33508",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921633508",
            "telephone_number": "619-354-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3734 6TH AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921034317",
            "telephone_number": "858-442-6674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLCREST PSYCHOLOGICAL ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-20",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A",
        "authorized_official_last_name": "TOZER",
        "authorized_official_first_name": "ERINN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-442-6674"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "PSY18698",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; 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.