Barrett Hamilton Newsom

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

BACB643750 Issued in CA

Practice address

4700 Spring St Ste 104
La Mesa, CA 91942-0272

Phone

(619) 782-0700

Fax

(619) 782-0710

NPI assigned

Dec 14, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• San Diego Applied Behavior Analysis , LLC

  • Behavior Analyst
  • La Mesa, CA
  • NPI 1598394223
  NPD (past)

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

{
    "created_epoch": "1607904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1952997926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 HOTEL CIR N STE 101&314",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921082807",
            "telephone_number": "619-961-2120",
            "fax_number": "619-961-2138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 SPRING ST STE 104",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919420272",
            "telephone_number": "619-782-0700",
            "fax_number": "619-782-0710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWSOM",
        "first_name": "BARRETT",
        "middle_name": "HAMILTON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-14",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "BACB643750",
            "primary": true
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SHARP DIRECT ADVANTAGE VIP PLAN",
            "identifier": "S00019471",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• New Day Women'S Center, Inc.
• New Vision Counseling Center
• Ryan Newkirk, IDC
• David Mark Newman, O.D.
• Sarah E Newman, MA, ATCL
• Bernardo NG
• Theodore Chiwan NG, M.D.
• Johndy Ngam
• Thuy Vu Nghiem
• Allisen Quynh Nhu Pham Nguyen, MD

• Behavior Technician in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; 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.