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

Q: 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.

Q: 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.

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: October 25, 2026.

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

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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

Phone(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

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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Azita Hickey Ph D Psychologist is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Azita Hickey Ph D Psychologist, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

Azita Hickey, PH.D.

Clinical Psychologist

NPI 1548520554

9921 CARMEL MOUNTAIN RD STE 204
San Diego, CA 92129

(909) 957-0556

✔ PECOS✔ Accepts Medicare13 mi

Alison Wexler, PSY.D.

Clinical Psychologist

NPI 1225823362

9921 CARMEL MOUNTAIN RD STE 204
San Diego, CA 92129

(619) 800-4796

✔ PECOS✔ Accepts Medicare13 mi

Camila Zager, PSYD

Clinical Psychologist

NPI 1790267458

9921 CARMEL MOUNTAIN RD STE 204
San Diego, CA 92129

(619) 880-9008

✔ PECOS✔ Accepts Medicare13 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Is Azita Hickey Ph D Psychologist enrolled in Medicare?

Yes. Azita Hickey Ph D Psychologist is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Azita Hickey Ph D Psychologist?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Clinical Psychologist, reassign their Medicare billing to Azita Hickey Ph D Psychologist. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.