Active NPI
Radmila M West, PH.D.
- Clinical Psychologist
- San Diego, CA
National Provider Identifier
1215065156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY20853
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| PSY20853 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New 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.
-
dba West Neurobehavioral Services
- Clinical Neuropsychologist
- San Diego, CA
- NPI 1750841003
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.