DR. MARIAM A. HUSSAIN PHD - NPI 1073321444 - Clinical Neuropsychologist in San Diego, CA

Q: What is Mariam Hussain's NPI number?

The NPI number for Mariam Hussain is 1073321444. It was assigned to this individual provider in the NPPES registry on December 18, 2024.

Q: What is Mariam Hussain's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Q: When was this NPI record last updated?

The NPPES record for Mariam Hussain was last updated on July 2, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Mariam A. Hussain Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARIAM A. HUSSAIN PHD (NPI 1073321444) is an individual clinical neuropsychologist in San Diego, California, licensed in California (PSY35561) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1073321444

Entity TypeIndividualFemale

Primary Taxonomy103G00000X

Provider Legal NameDR. MARIAM A. HUSSAINCredential: PHD

Location Address3990 OLD TOWN AVE STE C303San Diego, CA 92110-2932

Mailing Address3990 Old Town Ave Ste C303San Diego, CA 92110-2932 · (858) 964-0722 · Fax (866) 437-0375

Phone(858) 964-0722

Fax(866) 437-0375

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateDecember 18, 2024

Last NPPES UpdateJuly 2, 2026

NPPES CertifiedJuly 2, 2026

✔ NPI 1073321444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in CA · PSY35561

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

Also ListedPsychologist · Adult Development & AgingTaxonomy 103TA0700X

Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License PSY35561 (CA)

Also ListedPsychologist · HealthTaxonomy 103TH0004X

Also ListedPsychologist · RehabilitationTaxonomy 103TR0400X

3990 OLD TOWN AVE STE C303, San Diego, CA 92110

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Secondary Practice Locations 4

Location 16699 Alvarado Rd Ste 2308San Diego, CA 92120-5241 · Phone (760) 631-3000 · Fax (760) 631-3016

Location 26010 Hidden Valley Rd Ste 200Carlsbad, CA 92011-4219 · Phone (760) 631-3000 · Fax (760) 631-3016

Location 315611 Pomerado Rd Ste 580Poway, CA 92064-2438 · Phone (760) 631-3000 · Fax (760) 631-3016

Location 48996 Miramar Rd Ste 301San Diego, CA 92126-4463 · Phone (760) 688-0601

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Mariam A. Hussain Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID941737134

PECOS Enrollment IDI20241230002584

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NATALIE ELVITA KURNIADI PHD

Clinical Neuropsychologist