Active NPI
Emily Jade Hennrich, PHD
- Psychologist
- San Diego, CA
National Provider Identifier
1962963421
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 29140
- Practice address
- 12625 High Bluff Dr Ste 111
San Diego, CA 92130-2053 - Phone
- (858) 692-4187
- NPI assigned
- Mar 27, 2019
- 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 | 29140 | CA | Primary |
Addresses
Primary practice location
12625 High Bluff Dr Ste 111
San Diego, CA 92130-2053
Mailing address
PO Box 230218
Encinitas, CA 92023-0218
Other practice location 1
725 Welch Rd
Palo Alto, CA 94304-1601
Phone (800) 516-0975
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29140 | CA | MD | Registered Respiratory Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Psychologist | Current | Accepting new patients |
| Roots Psychiatric Services PC | Past | Accepting new patients | |
| The Halliday Center for Psychotherapy and Wellness, Inc. | Past | Accepting new patients |
Interoperability endpoints
- emilyhennrich@tdh.allscriptsdirect.net
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Psychologist
-
- Adolescent and Children Mental Health Clinic/Center
- Glendale, CA
- NPI 1457016560
-
- Clinical Psychologist
- Encinitas, CA
- NPI 1164848958
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757894400000",
"number": "1962963421",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 230218",
"city": "ENCINITAS",
"state": "CA",
"postal_code": "920230218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12625 HIGH BLUFF DR STE 111",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921302053",
"telephone_number": "858-692-4187"
}
],
"practiceLocations": [
{
"address_1": "725 Welch Rd",
"address_purpose": "LOCATION",
"city": "Palo Alto",
"state": "CA",
"postal_code": "943041601",
"country_code": "US",
"telephone_number": "800-516-0975",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HENNRICH",
"first_name": "EMILY",
"middle_name": "JADE",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-27",
"last_updated": "2025-09-15",
"certification_date": "2025-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "29140",
"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 Sep 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.