NPIMap

Organization Active NPI

Rady Children's Outpatient Psychiatry

  • Children's Hospital
  • San Diego, CA
National Provider Identifier
1760575963
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's HospitalTaxonomy code 282NC2000X
Legal business name
RADY CHILDREN'S OUTPATIENT PSYCHIATRY
Practice address
3559 Indiana St Apt 8
San Diego, CA 92103-5244
Phone
(619) 851-4201
NPI assigned
Oct 2, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Lisa Hazlewood, PH.D
Title
Clinical Psychologist
Phone
(858) 487-9050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Children's Hospital 282NC2000X CA Primary

Addresses

Primary practice location

3559 Indiana St Apt 8
San Diego, CA 92103-5244

Mailing address

3559 Indiana St Apt 8
San Diego, CA 92103-5244
Phone (619) 851-4201

National Provider Directory

National Provider Directory
Tax ID family
Rady Childrens Spec of SD60 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760575963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3559 INDIANA ST APT 8",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921035244",
            "telephone_number": "619-851-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3559 INDIANA ST APT 8",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921035244",
            "telephone_number": "619-851-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADY CHILDREN'S OUTPATIENT PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAZLEWOOD",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "858-487-9050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "282NC2000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Children",
            "state": "CA",
            "license": null,
            "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 Aug 22, 2020; 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.