Active NPI
Denise Hawkinson, PH.D., Psychologist, Inc.
- Clinical Psychologist
- La Jolla, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY20511
- Legal business name
- DENISE HAWKINSON, PH.D., PSYCHOLOGIST, INC.
- Practice address
- 4225 Executive SQ
#1110
La Jolla, CA 92037-9122 - Phone
- (858) 558-8535
- NPI assigned
- Sep 25, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Denise Lynn Hawkinson, PH.D.
- Title
- President
- Phone
- (619) 991-6900
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY20511 | CA | Primary |
Addresses
Primary practice location
4225 Executive SQ
#1110
La Jolla, CA 92037-9122
Mailing address
5980 Camino de la Costa
La Jolla, CA 92037-6550
Phone (858) 459-6833
National Provider Directory
National Provider DirectoryLocations
4225 Executive Sq
Ste 1110
La Jolla, CA 92037
Phone (858) 558-7707
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Clinical Psychologist
- La Jolla, CA
- NPI 1558462705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1790885242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5980 CAMINO DE LA COSTA",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920376550",
"telephone_number": "858-459-6833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4225 EXECUTIVE SQ",
"address_2": "#1110",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920379122",
"telephone_number": "858-558-8535"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DENISE HAWKINSON, PH.D., PSYCHOLOGIST, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-25",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HAWKINSON",
"authorized_official_first_name": "DENISE",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "619-991-6900",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY20511",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Jolla, 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.