Azita Hickey PH D Psychologist

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

AZITA HICKEY PH D PSYCHOLOGIST

Practice address

2831 Camino del Rio S Ste 103
San Diego, CA 92108-3827

Phone

(619) 880-9008

Fax

(909) 660-4997

NPI assigned

Feb 13, 2019

Last updated

Apr 29, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Azita Hickey, PHDNPI 1548520554

Title

Officer/President

Phone

(909) 957-0556

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Azita Melody Hickey, PH.D.

  • Clinical Psychologist
  • San Diego, CA
  • NPI 1548520554
  Medicare reassignment Care Compare group NPD Authorized official
• Camila Isabel Zager, PSYD

  • Clinical Psychologist
  • San Diego, CA
  • NPI 1790267458
  Medicare reassignment Care Compare group NPD
• Alison Wexler, PSY.D.

  • Clinical Psychologist
  • San Diego, CA
  • NPI 1225823362
  Care Compare group NPD (past)

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

{
    "created_epoch": "1550016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714348800000",
    "number": "1770049959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9921 CARMEL MOUNTAIN RD STE 204",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921292813",
            "telephone_number": "619-880-9008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2831 CAMINO DEL RIO S STE 103",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083827",
            "telephone_number": "619-880-9008",
            "fax_number": "909-660-4997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZITA HICKEY PH D PSYCHOLOGIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-13",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A",
        "authorized_official_last_name": "HICKEY",
        "authorized_official_first_name": "AZITA",
        "authorized_official_title_or_position": "OFFICER/PRESIDENT",
        "authorized_official_telephone_number": "909-957-0556",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE, CLINICAL PSYCHOLOGIST",
            "identifier": "PSY30683",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Naheed Azim
• Aysun Azimi, DO
• Hassan Jon Azimi, M.D.
• Mariam Azimi, PT, DPT
• Nima Eypakchi Azimi
• Nashwa Aziz-Butler, MD
• Rita Aziz
• Armon Azizi, MD
• Therese Azkoul
• Joel Paul Azpeitia

• 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 Apr 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.