Jill A Hitselberger, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY18621 Issued in CA

Practice address

448 S Marengo Ave
Pasadena, CA 91101-3113

Phone

(626) 644-8338

NPI assigned

Nov 5, 2008

Last updated

Nov 6, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oceanside Medical Group a Medical CorporationGroup PAC ID 9335311042, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jillhitselberger-impact@lacsapc.netsmartdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Oceanside Medical Group, a Medical Corporation

  • Psychiatry Physician
  • Santa Monica, CA
  • NPI 1861770513
  Medicare reassignment Care Compare group NPD
• Los Angeles County Department of Public Health

  • Public Health or Welfare Agency
  • Alhambra, CA
  • NPI 1700090834
  NPD

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

{
    "created_epoch": "1225843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1922252873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 371",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910310371",
            "telephone_number": "626-644-8338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "448 S MARENGO AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911013113",
            "telephone_number": "626-644-8338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HITSELBERGER",
        "first_name": "JILL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-05",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY18621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Hintog, APCC
• Erica Marie Hipp
• Sara Chanda Magwene Hirahara, DPT
• Kelly Elizabeth Hires
• Bruce Hirsch, PH.D.
• Carla Schmidt Hix, PSY.D.
• HJ Enterprises (Cal Oaks Pharmacy)
• HMH Emergency Medical Group, Inc.
• Kayin Leslie Ho-NG
• Anita Ho

• Clinical Psychologist in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.