Active NPI
Dr. Ayelet Hirshfeld
- Clinical Psychologist
- San Jose, CA
National Provider Identifier
1568976793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY22767
- 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, 2018
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861687659 | Other | CA | NPI |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Clinical Psychologist
- Los Gatos, CA
- NPI 1861687659
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": []
}
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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.