Individual provider Active NPI

Madeleine Coronado

  • Clinical Psychologist
  • San Diego, CA
National Provider Identifier
1740891720
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
36198 Issued in CA
Practice address
3734 6TH Ave
San Diego, CA 92103-4317
Phone
(619) 354-7400
Fax
(619) 574-6964
NPI assigned
Aug 12, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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 36198 CA Primary

Addresses

Primary practice location

3734 6TH Ave
San Diego, CA 92103-4317

Mailing address

3734 6TH Ave
San Diego, CA 92103-4317
Phone (619) 354-7400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
36198CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hillcrest Psychological Associates, PC CurrentSince Sep 28, 2025 Accepting new patients
Hillcrest Psychological Associates, PC CurrentSince Sep 28, 2025 Accepting new patients

Locations

3734 6th Ave
San Diego, CA 92103
Phone (619) 354-7400

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1740891720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3734 6TH AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921034317",
            "telephone_number": "619-354-7400",
            "fax_number": "619-574-6964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3734 6TH AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921034317",
            "telephone_number": "619-354-7400",
            "fax_number": "619-574-6964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORONADO",
        "first_name": "MADELEINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-12",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "36198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; 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.