Active NPI
Haran Kingstan, PSYD
- Clinical Psychologist
- San Diego, CA
National Provider Identifier
1376995100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- LP6176
- Practice address
- 3734 6TH Ave
San Diego, CA 92103-4317 - Phone
- (619) 354-7400
- NPI assigned
- Jul 5, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | MN | ||
| Clinical Psychologist | 103TC0700X | LP6176 | MN | Primary |
Addresses
Primary practice location
3734 6TH Ave
San Diego, CA 92103-4317
Mailing address
3734 6TH Ave
San Diego, CA 92103-4317
Phone (619) 354-7400
Other practice location 1
1437 Van Buren Ave
Saint Paul, MN 55104-1929
Phone (612) 269-0250 ext. 90250
Other practice location 2
8451 E Point Douglas Rd S
Cottage Grove, MN 55016-3331
Phone (651) 255-8573
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP6176 | MN | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alchemy and Insight Inc. | Clinical | Current | Accepting new patients |
| Hillcrest Psychological Associates, PC | Current | Accepting new patients | |
| Hillcrest Psychological Associates, PC | Current | Accepting new patients |
Locations
3734 6th Ave
San Diego, CA 92103
Phone (619) 354-7400
Organizations & group practices 3
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.
-
- Clinical Psychologist
- San Diego, CA
- NPI 1689525487
-
- Psychologist
- San Diego, CA
- NPI 1073047239
-
- Psychologist
- San Diego, CA
- NPI 1124425087
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1376995100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3734 6TH AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921034317",
"telephone_number": "619-354-7400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3734 6TH AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921034317",
"telephone_number": "619-354-7400"
}
],
"practiceLocations": [
{
"address_1": "1437 Van Buren Ave",
"address_purpose": "LOCATION",
"city": "Saint Paul",
"state": "MN",
"postal_code": "551041929",
"country_code": "US",
"telephone_number": "612-269-0250 x90250",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8451 E Point Douglas Rd S",
"address_purpose": "LOCATION",
"city": "Cottage Grove",
"state": "MN",
"postal_code": "550163331",
"country_code": "US",
"telephone_number": "651-255-8573",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KINGSTAN",
"first_name": "HARAN",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-05",
"last_updated": "2022-07-21",
"certification_date": "2021-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MN",
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MN",
"license": "LP6176",
"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 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.