Organization Active NPI

Dr. Ayelet Hirshfeld

  • Clinical Psychologist
  • San Jose, CA
National Provider Identifier
1568976793
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY22767 Issued in CA
Legal business name
DR. AYELET HIRSHFELD
Practice address
1101 S Winchester Blvd Ste G174
San Jose, CA 95128-3917
Phone
(408) 874-6506
Fax
(408) 663-6614
NPI assigned
Nov 27, 2017
Last updated
Jun 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Dr. Ayelet Hirshfeld, PHD
Title
Owner Licensed Clinical Psychologst
Phone
(408) 874-6506

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY22767 CA Primary

Addresses

Primary practice location

1101 S Winchester Blvd Ste G174
San Jose, CA 95128-3917

Mailing address

1101 S Winchester Blvd Ste G174
San Jose, CA 95128-3917
Phone (408) 874-6506

Other identifiers 1

IdentifierTypeStateIssuer
1861687659OtherCANPI

National Provider Directory

National Provider Directory

Locations

1101 S Winchester Blvd
Ste G174
San Jose, CA 95128
Phone (408) 874-6506

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.

NPI Registry JSON

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

{
    "created_epoch": "1511740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1568976793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 S WINCHESTER BLVD STE G174",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951283917",
            "telephone_number": "408-874-6506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 S WINCHESTER BLVD STE G174",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951283917",
            "telephone_number": "408-874-6506",
            "fax_number": "408-663-6614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. AYELET HIRSHFELD",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-27",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "HIRSHFELD",
        "authorized_official_first_name": "AYELET",
        "authorized_official_title_or_position": "OWNER LICENSED CLINICAL PSYCHOLOGST",
        "authorized_official_telephone_number": "408-874-6506",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY22767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1861687659",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.