Active NPI
Danielle J Hibbitts, MS, MA, PSY. D
- Forensic Psychologist
- Stockton, CA
National Provider Identifier
1821376898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Psychologist
- License
- PSB94022734
- Practice address
- 20 N Sutter St Ste 400
Stockton, CA 95202-2911 - Phone
- (510) 872-8122
- NPI assigned
- Jul 25, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Forensic Psychologist | 103TF0200X | PSB94022734 | CA | Primary |
Addresses
Primary practice location
20 N Sutter St Ste 400
Stockton, CA 95202-2911
Mailing address
20 N Sutter St Ste 400
Stockton, CA 95202-2911
Phone (510) 872-8122
Other practice location 1
13666 E 14th St
San Leandro, CA 94578-2538
Phone (510) 872-8122
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PSB94022734 | Other | CA | BOARD OF PSYCHOLOGY, PSYCHOLOGICAL ASSISTANT |
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
- Credentials
- Master of Arts, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSB94022734 | CA | MD | Forensic Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537315200000",
"number": "1821376898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 N SUTTER ST STE 400",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952022911",
"telephone_number": "510-872-8122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 N SUTTER ST STE 400",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952022911",
"telephone_number": "510-872-8122"
}
],
"practiceLocations": [
{
"address_1": "13666 E 14th St",
"address_purpose": "LOCATION",
"city": "San Leandro",
"state": "CA",
"postal_code": "945782538",
"country_code": "US",
"telephone_number": "510-872-8122",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HIBBITTS",
"first_name": "DANIELLE",
"middle_name": "J",
"name_prefix": "Ms.",
"credential": "MS, MA, PSY. D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-25",
"last_updated": "2018-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "CA",
"license": "PSB94022734",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF PSYCHOLOGY, PSYCHOLOGICAL ASSISTANT",
"identifier": "PSB94022734",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.