Organization Active NPI

Hillcrest Psychological Services, Inc.

  • Clinical Psychologist
  • San Diego, CA
National Provider Identifier
1629110127
Registry record updated Sep 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY13981 Issued in CA
Legal business name
HILLCREST PSYCHOLOGICAL SERVICES, INC.
Practice address
3233 3Rd Ave
San Diego, CA 92103-5615
Phone
(619) 298-6610
NPI assigned
Feb 12, 2007
Last updated
Sep 26, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2018

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

Authorized official

Name
Dr. Shari MednitskyNPI 1174736136
Title
Psychologist
Phone
(619) 298-6610

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY13981 CA Primary

Addresses

Primary practice location

3233 3Rd Ave
San Diego, CA 92103-5615

Mailing address

3233 3Rd Ave
San Diego, CA 92103-5615
Phone (619) 298-6610

National Provider Directory

National Provider Directory

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": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537920000000",
    "number": "1629110127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3233 3RD AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921035615",
            "telephone_number": "619-298-6610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3233 3RD AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921035615",
            "telephone_number": "619-298-6610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLCREST PSYCHOLOGICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2018-09-26",
        "status": "A",
        "authorized_official_last_name": "MEDNITSKY",
        "authorized_official_first_name": "SHARI",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "619-298-6610",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY13981",
            "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 Sep 26, 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.