Individual provider Active NPI

Hyo Bae, PH.D.

  • Clinical Child & Adolescent Psychologist
  • Del Mar, CA
National Provider Identifier
1356698088
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
Practice address
240 9TH St
Del Mar, CA 92014-2717
Phone
(619) 728-4950
NPI assigned
Aug 13, 2012
Last updated
Mar 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NU
Clinical Child & Adolescent Psychologist 103TC2200X NU Primary

Addresses

Primary practice location

240 9TH St
Del Mar, CA 92014-2717

Mailing address

265 Santa Helena Ste 214
Solana Beach, CA 92075-1546
Phone (619) 728-4950

Other practice location 1

265 Santa Helena Ste 214
Solana Beach, CA 92075-1546
Phone (619) 728-4950

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
25389CAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hyo Bae PHD Clinical Child & Adolescent CurrentSince Mar 30, 2025 Accepting new patients
Mark David Levine, MD Burlingame PC PastSince Jan 18, 2015 Accepting new patients

Locations

240 9th St
Del Mar, CA 92014
Phone (619) 728-4950

265 Santa Helena
Ste 214
Solana Beach, CA 92075
Phone (858) 229-6986

Organizations & group practices 2

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": "1344816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1356698088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 SANTA HELENA STE 214",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920751546",
            "telephone_number": "619-728-4950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 9TH ST",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920142717",
            "telephone_number": "619-728-4950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "265 Santa Helena Ste 214",
            "address_purpose": "LOCATION",
            "city": "Solana Beach",
            "state": "CA",
            "postal_code": "920751546",
            "country_code": "US",
            "telephone_number": "619-728-4950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAE",
        "first_name": "HYO",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-13",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Del Mar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2025; 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.