RADY CHILDREN'S HOSPITAL
NPI 1629219845
Psychologist - Clinical in San Diego, CA

Active since March 18, 2009
3020 CHILDRENS WAY # MC5081, SAN DIEGO, CA 92123(858) 576-1700(858) 966-8495 Get Directions Write a Review

NPPES record last updated: March 18, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Rady Children's Hospital NPPES

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

RADY CHILDREN'S HOSPITAL (NPI 1629219845) is a healthcare organization registered as a clinical in San Diego, California and active in the NPI registry since March 2009. The organization lists Christine Forest, Contract Specialist, as its authorized official.

NPPES Registry Identity

NPI1629219845
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameRADY CHILDREN'S HOSPITAL
Location Address3020 CHILDRENS WAY # MC5081San Diego, CA 92123-4223
Mailing Address3020 Childrens WaySan Diego, CA 92123-4223 · (858) 576-1700 · Fax (858) 966-8495
Fax(858) 966-8495
Organization SubpartNo
Authorized OfficialChristine ForestContract Specialist · (858) 966-7716
Enumeration DateMarch 18, 2009
NPI 1629219845 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 · PSY22035
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.

3020 CHILDRENS WAY # MC5081, San Diego, CA 92123

Other Identifiers 2

OtherZZZH3702ZCA · Blue Shield Group Provider Number
Medicare UPIN053303CA

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

Other Providers at the Same Location NPPES

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

Psychologist (Clinical)
3020 CHILDRENS WAY # MC5081
SAN DIEGO, CA 92123

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629219845, enumerated as an "organization" on March 18, 2009.

The provider is located at 3020 CHILDRENS WAY # MC5081 SAN DIEGO, CA 92123 and the phone number is (858) 576-1700.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.