Jack R Hills, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

36182 Issued in CA

Practice address

167 S San Antonio Rd Ste 2
Los Altos, CA 94022-3055

Phone

(650) 422-7475

NPI assigned

Oct 12, 2015

Last updated

Jul 15, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Amae Health Medical Associates, PC

  • Adult Mental Health Clinic/Center
  • Los Angeles, CA
  • NPI 1346958295
  Medicare reassignment

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

{
    "created_epoch": "1444608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1265803696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 1/2 E HALEY ST APT B",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931015302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 S SAN ANTONIO RD STE 2",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940223055",
            "telephone_number": "650-422-7475"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 OFarrell St Ste 250",
            "address_purpose": "LOCATION",
            "city": "San Mateo",
            "state": "CA",
            "postal_code": "944031387",
            "country_code": "US",
            "telephone_number": "310-601-5099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11620 Wilshire Blvd Ste 520",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900251778",
            "country_code": "US",
            "telephone_number": "310-601-5099",
            "fax_number": "888-988-1786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HILLS",
        "first_name": "JACK",
        "middle_name": "R",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-12",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "36182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Health Freedom Network Inc
• Suzanne Heltzel
• Henderson & Henderson -Los Altos Dental Corporation (Pinnacle Dental)
• Stephanie Hendson, OTR/L
• Jomary Hilliard, PH.D.
• Yoko Hirano
• Alexandra Ho, OTRL
• Margaret Ho
• Patricia Ho, MD
• Thien Kim Ho

• Clinical Psychologist in Los Altos, CA
• Providers in Los Altos, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.