Suzanne Michelle Hilleary, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY 24834 Issued in CA

Practice address

VA Loma Linda Healthcare System
11201 Benton Street
Loma Linda, CA 92357-0001

Phone

(909) 825-7084

NPI assigned

Jun 11, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339372800000",
    "number": "1710249313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "VA LOMA LINDA HEALTHCARE SYSTEM",
            "address_2": "11201 BENTON STREET",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923570001",
            "telephone_number": "909-825-7084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VA LOMA LINDA HEALTHCARE SYSTEM",
            "address_2": "11201 BENTON STREET",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923570001",
            "telephone_number": "909-825-7084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLEARY",
        "first_name": "SUZANNE",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-11",
        "last_updated": "2012-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY 24834",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 24834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Hightower, RN
• Gail Emswiler Hill, CRNA
• Jay Brandon Hill, M.D.
• Jonathan Blease Hill, MD
• Julie Lynn Hill, NP
• Anthony A Hilliard, M.D.
• Kimberly Leon Hillyer, NP
• Elizabeth Carol Hiltabidel, MSN, RN, CWOCN
• Danielle Nebal Hindi-Goodman, PA-C
• Bernard Hindman, M.D.

• Clinical Psychologist in Loma Linda, CA
• Providers in Loma Linda, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2012; 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.