NPIMap

Organization Active NPI

HM Psychological Services, Inc.

  • Clinical Psychologist
  • San Diego, CA
National Provider Identifier
1952931784
Registry record updated Jan 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
HM PSYCHOLOGICAL SERVICES, INC.
Practice address
3130 5TH Ave
San Diego, CA 92103-5839
Phone
(619) 540-1184
NPI assigned
Jan 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2020

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

Authorized official

Name
Dr. Heather R Marriatori, PHDNPI 1366002602
Title
Clinical Psychologist/Owner
Phone
(619) 540-1184

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

3130 5TH Ave
San Diego, CA 92103-5839

Mailing address

3130 5TH Ave
San Diego, CA 92103-5839

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200330002289 CA Part B Supplier - Clinic/Group Practice 3375972151 Receives reassigned benefits from 4 practitioners
Practice locations: San Diego, CA
O20240813002519 MN Part B Supplier - Clinic/Group Practice 3375972151 Receives reassigned benefits from 1 practitioner
Practice locations: Burnsville, MN

National Provider Directory

National Provider Directory

Locations

4420 Hotel Circle Ct
Ste 350
San Diego, CA 92108
Phone (619) 500-4637

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1579564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579564800000",
    "number": "1952931784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 5TH AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921035839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 5TH AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921035839",
            "telephone_number": "619-540-1184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HM PSYCHOLOGICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-21",
        "last_updated": "2020-01-21",
        "certification_date": "2020-01-21",
        "status": "A",
        "authorized_official_last_name": "MARRIATORI",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "619-540-1184",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.