Active NPI
Miguel Keller Hidalgo-Barnes, PSY.D.
- Clinical Psychologist
- Richmond, CA
National Provider Identifier
1669656393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY24974
- Practice address
- 3095 Richmond Pkwy
Ste 201
Richmond, CA 94806-5878 - Phone
- (510) 596-8125
- NPI assigned
- Dec 17, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY24974 | CA | Primary |
Addresses
Primary practice location
3095 Richmond Pkwy
Ste 201
Richmond, CA 94806-5878
Mailing address
3095 Richmond Pkwy
Ste 201
Richmond, CA 94806-5878
Phone (510) 596-8125
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1333 Willow Pass Rd
Suite 102
Concord, CA 94520-5225
Phone (925) 825-1793
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24974 | CA | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Portia Bell Hume Behavioral Health & Training Center | Current | Accepting new patients | |
| Portia Bell Hume Behavioral Health and Training Center | Current | Accepting new patients | |
| Portia Bell Hume Behavioral Health and Training Center | Current | Accepting new patients | |
| La Cheim School, Inc. | Past | Accepting new patients |
Locations
1333 Willow Pass Rd
Ste 102
Concord, CA 94520
Phone (925) 338-7928
3095 Richmond Pkwy
Ste 201
San Pablo, CA 94806
Phone (510) 717-3159
Organizations & group practices 4
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Concord, CA
- NPI 1760489439
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Richmond, CA
- NPI 1083060990
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fremont, CA
- NPI 1801087366
-
- Community/Behavioral Health Agency
- Oakland, CA
- NPI 1275881492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747612800000",
"number": "1669656393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3095 RICHMOND PKWY",
"address_2": "STE 201",
"city": "RICHMOND",
"state": "CA",
"postal_code": "948065878",
"telephone_number": "510-596-8125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3095 RICHMOND PKWY",
"address_2": "STE 201",
"city": "RICHMOND",
"state": "CA",
"postal_code": "948065878",
"telephone_number": "510-596-8125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIDALGO-BARNES",
"first_name": "MIGUEL",
"middle_name": "KELLER",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-12-17",
"last_updated": "2025-05-19",
"certification_date": "2025-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY24974",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.