Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JACK R HILLS PSYD
NPI 1265803696
Psychologist - Clinical in Los Altos, CA

Q: What is Jack Hills's NPI number?

The NPI number for Jack Hills is 1265803696. It was assigned to this individual provider in the NPPES registry on October 12, 2015.

Q: What is Jack Hills's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Jack Hills was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 12, 2015

167 S SAN ANTONIO RD STE 2, LOS ALTOS, CA 94022(650) 422-7475 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 15, 2026, Nov 18, 2025 (2 updates tracked since 2025).

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About Jack R Hills Psyd NPPES

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

JACK R HILLS PSYD (NPI 1265803696) is an individual clinical provider in Los Altos, California, licensed in California (36182) and active in the NPI registry since October 2015. He maintains 2 additional practice locations and is a graduate of Other (2023).

NPPES Registry Identity

NPI1265803696

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameJACK R HILLSCredential: PSYD

Location Address167 S SAN ANTONIO RD STE 2Los Altos, CA 94022-3055

Mailing Address100 1/2 E Haley St Apt BSanta Barbara, CA 93101-5302

Phone(650) 422-7475

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateOctober 12, 2015

Last NPPES UpdateJuly 15, 20262 updates tracked since enumeration

NPPES CertifiedJuly 15, 2026

✔ NPI 1265803696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · 36182

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

167 S SAN ANTONIO RD STE 2, Los Altos, CA 94022

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Secondary Practice Locations 2

Location 11900 OFarrell St Ste 250San Mateo, CA 94403-1387 · Phone (310) 601-5099

Location 211620 Wilshire Blvd Ste 520Los Angeles, CA 90025-1778 · Phone (310) 601-5099 · Fax (888) 988-1786

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jack R Hills Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7315422714

PECOS Enrollment IDI20260403000091

Other Providers at the Same Location NPPES 3

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

KEITH M SAKATA MD

Psychiatry & Neurology (Psychiatry)

167 S SAN ANTONIO RD STE 2
LOS ALTOS, CA 94022

Santa Clara County (310) 601-5099

MRS. KAITLYN CHRISTINE-POWERS CUADERNO

Social Worker (Clinical)

167 S SAN ANTONIO RD STE 2
LOS ALTOS, CA 94022

Santa Clara County (650) 946-1200

JULIE ADKINS

Dietitian, Registered

167 S SAN ANTONIO RD STE 2
LOS ALTOS, CA 94022

Santa Clara County (650) 946-1200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Hills's NPI number?

The NPI number for Jack Hills is 1265803696. It was assigned to this individual provider in the NPPES registry on October 12, 2015.

Where is Jack Hills located?

Jack Hills practices at 167 S San Antonio Rd Ste 2, Los Altos, CA 94022. The listed phone number is (650) 422-7475.

What is Jack Hills's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Jack Hills enrolled in Medicare?

Yes. Jack Hills is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jack Hills was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.