Organization Active NPI

Denise Hawkinson, PH.D., Psychologist, Inc.

  • Clinical Psychologist
  • La Jolla, CA
National Provider Identifier
1790885242
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY20511 Issued in CA
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, 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. Denise Lynn Hawkinson, PH.D.NPI 1558462705
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.