Individual provider Active NPI

Chad K Hybarger, PSY.D.

  • Psychologist
  • La Mesa, CA
National Provider Identifier
1235196411
Registry record updated Feb 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY22867 Issued in CA
Practice address
7171 Alvarado Rd Ste 100a
La Mesa, CA 91942-8996
Phone
(619) 562-2130
Fax
(619) 562-2584
NPI assigned
Apr 29, 2006
Last updated
Feb 9, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY22867 CA Primary

Addresses

Primary practice location

7171 Alvarado Rd Ste 100a
La Mesa, CA 91942-8996

Mailing address

7171 Alvarado Rd Ste 100a
La Mesa, CA 91942-8996
Phone (619) 562-2130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190529002330 CA Practitioner - Clinical Psychologist 8921341231 Receives reassigned benefits from 1 practitioner
Practice locations: La Mesa, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7171 Alvarado Rd
Suite 100a
La Mesa, CA 91942-8996
Phone (619) 562-2130

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY22867CAMDPsychologist
22867CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family Therapy Institute CurrentSince Jul 1, 2005 Accepting new patients

Locations

7171 Alvarado Rd
Ste 100A
La Mesa, CA 91942
Phone (619) 562-2130

Practitioners & affiliated clinicians

Practitioners 1

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.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1146268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518134400000",
    "number": "1235196411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7171 ALVARADO RD STE 100A",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919428996",
            "telephone_number": "619-562-2130",
            "fax_number": "619-562-2584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7171 ALVARADO RD STE 100A",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919428996",
            "telephone_number": "619-562-2130",
            "fax_number": "619-562-2584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYBARGER",
        "first_name": "CHAD",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-29",
        "last_updated": "2018-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY22867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

Verify at the official NPI Registry.