AZITA HICKEY PH D PSYCHOLOGIST
NPI 1770049959
Psychologist - Clinical in San Diego, CA

Active since February 13, 2019
2831 CAMINO DEL RIO S STE 103, SAN DIEGO, CA 92108(619) 880-9008(909) 660-4997 Get Directions Write a Review

NPPES record last updated: April 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 29, 2024, Apr 4, 2024, Feb 23, 2022 and 1 more (4 updates tracked since 2019).

About Azita Hickey Ph D Psychologist NPPES

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

AZITA HICKEY PH D PSYCHOLOGIST (NPI 1770049959) is a healthcare organization registered as a clinical in San Diego, California and active in the NPI registry since February 2019. The organization lists Azita Hickey, Officer/president, as its authorized official.

NPPES Registry Identity

NPI1770049959
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameAZITA HICKEY PH D PSYCHOLOGIST
Location Address2831 CAMINO DEL RIO S STE 103San Diego, CA 92108-3827
Mailing Address9921 Carmel Mountain Rd Ste 204San Diego, CA 92129-2813 · (619) 880-9008
Fax(909) 660-4997
Organization SubpartNo
Authorized OfficialAzita HickeyOfficer/president · (909) 957-0556
Enumeration DateFebruary 13, 2019
Last NPPES UpdateApril 29, 20244 updates tracked since enumeration
NPPES CertifiedApril 29, 2024
NPI 1770049959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
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.
2831 CAMINO DEL RIO S STE 103, San Diego, CA 92108

Other Identifiers 1

OtherPSY30683CA · License, Clinical Psychologist

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

Psychologist (Clinical)
2831 CAMINO DEL RIO S STE 103
SAN DIEGO, CA 92108
Psychologist (Clinical)
2831 CAMINO DEL RIO S STE 103
SAN DIEGO, CA 92108
Clinic/Center (Mental Health (Including Community Mental Health Center))
2831 CAMINO DEL RIO S STE 103
SAN DIEGO, CA 92108

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 Azita Hickey Ph D Psychologist's NPI number?

The NPI number for Azita Hickey Ph D Psychologist is 1770049959. It was assigned to this organization in the NPPES registry on February 13, 2019.

Where is Azita Hickey Ph D Psychologist located?

Azita Hickey Ph D Psychologist is located at 2831 Camino Del Rio S Ste 103, San Diego, CA 92108. The listed phone number is (619) 880-9008.

What is Azita Hickey Ph D Psychologist's specialty?

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

When was this NPI record last updated?

The NPPES record for Azita Hickey Ph D Psychologist was last updated on April 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.