Shaul M Saddick, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY7534 Issued in CA

Practice address

6046 Cornerstone CT W
Suite 100
San Diego, CA 92121-4758

Phone

(858) 455-6587

Fax

(858) 362-1472

NPI assigned

Nov 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jun 10, 2026 through Jun 10, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Shaul M Saddick PHD., Apc

  • Clinical Neuropsychologist
  • San Diego, CA
  • NPI 1699624023
  NPD Authorized official

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1689747503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 927857",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921927857",
            "telephone_number": "858-455-6587",
            "fax_number": "858-362-1472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6046 CORNERSTONE CT W",
            "address_2": "SUITE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921214758",
            "telephone_number": "858-455-6587",
            "fax_number": "858-362-1472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADDICK",
        "first_name": "SHAUL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY7534",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY7534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PZ0075340",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER HEALTH INSURANCE",
            "identifier": "PSY7534",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Sadat
• Sayed Wares Sadat, DO
• Kenneth James Sadauski, L.C.S.W.
• Reem Sadda
• Robert Saddawi-Konefka, MD PHD
• Ali Adnan Ali'I'Kai Sadduk, D.D.S.
• Shiva Sadeghi Naeini, LMFT
• Cameron Sadeghi, M.D.
• Maria Sadeghi, PH.D.
• Saha Sadeghi, MD

• Clinical Psychologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.

Verify at the official NPI Registry.