Individual provider Active NPI

Radmila M West, PH.D.

  • Clinical Psychologist
  • San Diego, CA
National Provider Identifier
1215065156
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY20853 Issued in CA
Practice address
16870 W Bernardo Dr Ste 400
San Diego, CA 92127-1678
Phone
(858) 761-7184
Fax
(858) 683-1478
NPI assigned
Mar 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY20853 CA Primary

Addresses

Primary practice location

16870 W Bernardo Dr Ste 400
San Diego, CA 92127-1678

Mailing address

16870 W Bernardo Dr Ste 400
San Diego, CA 92127-1678
Phone (858) 761-7184

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY20853CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
West Neurobehavioral Services Neuropsychological and Psychological Con Current Accepting new patients

Locations

16870 W Bernardo Dr
Ste 400
San Diego, CA 92127
Phone (858) 673-9600

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1215065156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16870 W BERNARDO DR STE 400",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921271678",
            "telephone_number": "858-761-7184",
            "fax_number": "858-683-1478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16870 W BERNARDO DR STE 400",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921271678",
            "telephone_number": "858-761-7184",
            "fax_number": "858-683-1478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "RADMILA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY20853",
            "primary": true
        }
    ],
    "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 Jul 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.