Active NPI
Lyda Hill, PHD
- Clinical Psychologist
- Laguna Beach, CA
National Provider Identifier
1679600027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PC9520
- Practice address
- 21622 Ocean Vista Dr
Laguna Beach, CA 92651 - Phone
- (949) 499-5009
- NPI assigned
- Feb 27, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PC9520 | CA | Primary |
Addresses
Primary practice location
21622 Ocean Vista Dr
Laguna Beach, CA 92651
Mailing address
21622 Ocean Vista Dr
Laguna Beach, CA 92651
Phone (949) 499-5009
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 20, 2020 through Jul 20, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC9520 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679600027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21622 OCEAN VISTA DR",
"city": "LAGUNA BEACH",
"state": "CA",
"postal_code": "92651",
"telephone_number": "949-499-5009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21622 OCEAN VISTA DR",
"city": "LAGUNA BEACH",
"state": "CA",
"postal_code": "92651",
"telephone_number": "949-499-5009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILL",
"first_name": "LYDA",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PC9520",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laguna Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.