Individual provider Active NPI

Richard F Hill, PHD

  • Clinical Psychologist
  • San Jose, CA
National Provider Identifier
1700993342
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY20326 Issued in CA
Practice address
2880 Zanker Rd
Suite 203
San Jose, CA 95134-2117
Phone
(408) 354-6783
Fax
(831) 335-2118
NPI assigned
Aug 23, 2006
Last updated
Apr 28, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY20326 CA Primary

Addresses

Primary practice location

2880 Zanker Rd
Suite 203
San Jose, CA 95134-2117

Mailing address

2880 Zanker Rd
Suite 203
San Jose, CA 95134-2117
Phone (408) 354-6783

Other identifiers 1

IdentifierTypeStateIssuer
366332OtherMHN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070409000559 CA Practitioner - Clinical Psychologist 2365546926 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

640 Bailey Rd
Suite 225
Pittsburg, CA 94565-4300

640 Bailey Rd
Suite 225
Bay Point, CA 94565-4306

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY20326CAMDClinical Psychologist
20326CAMDCertified Respiratory Therapist

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209340800000",
    "number": "1700993342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2880 ZANKER RD",
            "address_2": "SUITE 203",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951342117",
            "telephone_number": "408-354-6783",
            "fax_number": "831-335-2118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 ZANKER RD",
            "address_2": "SUITE 203",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951342117",
            "telephone_number": "408-354-6783",
            "fax_number": "831-335-2118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "RICHARD",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2008-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY20326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "366332",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.