Active NPI
Nina Christine Hudspeth, PSYD
- Psychologist
- Rancho Cucamonga, CA
National Provider Identifier
1962696039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY24904
- Practice address
- 10750 4TH St Ste 150
Rancho Cucamonga, CA 91730-0979 - Phone
- (909) 276-8320
- NPI assigned
- Aug 31, 2007
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY24904 | CA | Primary |
Addresses
Primary practice location
10750 4TH St Ste 150
Rancho Cucamonga, CA 91730-0979
Mailing address
923 S Catalina Ave
Redondo Beach, CA 90277-4718
Phone (310) 792-5454
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
| License | State | Type | Specialty |
|---|---|---|---|
| PSY24904 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664409600000",
"number": "1962696039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "923 S CATALINA AVE",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "902774718",
"telephone_number": "310-792-5454",
"fax_number": "310-792-5463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10750 4TH ST STE 150",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917300979",
"telephone_number": "909-276-8320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUDSPETH",
"first_name": "NINA",
"middle_name": "CHRISTINE",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-31",
"last_updated": "2022-09-29",
"certification_date": "2022-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY24904",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rancho Cucamonga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.