Individual provider Active NPI

Alexandria W Hotmer, PSYD

  • Clinical Psychologist
  • San Luis Obispo, CA
National Provider Identifier
1902500291
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
34111 Issued in CA
Practice address
793 Orcutt Rd Apt 207
San Luis Obispo, CA 93401-6830
Phone
(601) 742-9083
NPI assigned
Mar 29, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 34111 CA Primary

Addresses

Primary practice location

793 Orcutt Rd Apt 207
San Luis Obispo, CA 93401-6830

Mailing address

793 Orcutt Rd Apt 207
San Luis Obispo, CA 93401-6830
Phone (610) 742-9083

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

State licenses

LicenseStateTypeSpecialty
34111CAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1680048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1902500291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "793 ORCUTT RD APT 207",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934016830",
            "telephone_number": "610-742-9083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "793 ORCUTT RD APT 207",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934016830",
            "telephone_number": "601-742-9083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOTMER",
        "first_name": "ALEXANDRIA",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-29",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "34111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; 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.