KIMBERLY PATTERSON HYATT
NPI 1780997742
Psychologist - Clinical in San Diego, CA

Q: What is Kimberly Patterson Hyatt's NPI number?

The NPI number for Kimberly Patterson Hyatt is 1780997742. It was assigned to this individual provider in the NPPES registry on July 20, 2010.

Q: What is Kimberly Patterson Hyatt's specialty?

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

Active since July 20, 2010PECOS EnrolledAccepts Medicare Assignment

1666 PRECISION PARK LN, SAN DIEGO, CA 92173(619) 662-4100 Get Directions Write a Review

NPPES record last updated: February 21, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Kimberly Patterson Hyatt NPPES

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

KIMBERLY PATTERSON HYATT (NPI 1780997742) is an individual clinical provider in San Diego, California, licensed in California (31903) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1780997742

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameKIMBERLY PATTERSON HYATT

Location Address1666 PRECISION PARK LNSan Diego, CA 92173-1346

Mailing Address1666 Precision Park LnSan Diego, CA 92173-1346 · (619) 622-4100

Phone(619) 662-4100

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJuly 20, 2010

Last NPPES UpdateFebruary 21, 2024

NPPES CertifiedFebruary 21, 2024

✔ NPI 1780997742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · 31903

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.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

1666 PRECISION PARK LN, San Diego, CA 92173

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kimberly Patterson Hyatt 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 ID2860839107

PECOS Enrollment IDI20240322001504

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.

Medicare Billing Reassignment

Medicare enrollment records show Kimberly Patterson Hyatt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Centro De Salud De La Comunidad De San Ysidro, Inc.

Same address

Federally Qualified Health Center (FQHC)

1666 PRECISION PARK LN
San Diego, CA 92173

Reassigned Medicare billing, California enrollment
577 clinicians in this Medicare group

NPI 1124782685 (619) 662-4100

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92173 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$184.71 typical visit price

range $62.10 – $184.71

Typical copayment $46.17 (range $15.52 – $46.17)

Most-billed visit code 99205

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC.

Clinic/Center (Adolescent and Children Mental Health)

1666 PRECISION PARK LN
SAN DIEGO, CA 92173

San Diego County (619) 428-1330

MS. GRACIELA CASTELLANOS MA IN MFT

Counselor

1666 PRECISION PARK LN
SAN YSIDRO, CA 92173

San Diego County (619) 662-4100

MICHELLE STEPHANIE LOUGH

Family Medicine

1666 PRECISION PARK LN
SAN YSIDRO, CA 92173

San Diego County (619) 662-4100

MARGARITA CASTELLANOS PALAZUELOS

Social Worker (Clinical)

1666 PRECISION PARK LN
SAN YSIDRO, CA 92173

San Diego County (619) 428-5533

ARI AZANI

Psychiatry & Neurology (Child & Adolescent Psychiatry)

1666 PRECISION PARK LN
SAN YSIDRO, CA 92173

San Diego County (619) 662-4100

RITO A LOPEZ NURSE PRACTITIONER

Nurse Practitioner (Family)

1666 PRECISION PARK LN
SAN YSIDRO, CA 92173

San Diego County (619) 662-4100

CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC.

Clinic/Center (Federally Qualified Health Center (FQHC))

1666 PRECISION PARK LN
SAN DIEGO, CA 92173

San Diego County (619) 662-4100

THANOS GEORGE ROSSOPOULOS MD

Psychiatry & Neurology (Psychiatry)

1666 PRECISION PARK LN
SAN YSIDRO, CA 92173

San Diego County (619) 662-4100

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 Kimberly Patterson Hyatt's NPI number?

The NPI number for Kimberly Patterson Hyatt is 1780997742. It was assigned to this individual provider in the NPPES registry on July 20, 2010.

Where is Kimberly Patterson Hyatt located?

Kimberly Patterson Hyatt practices at 1666 Precision Park Ln, San Diego, CA 92173. The listed phone number is (619) 662-4100.

What is Kimberly Patterson Hyatt's specialty?

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

Is Kimberly Patterson Hyatt enrolled in Medicare?

Yes. Kimberly Patterson Hyatt is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kimberly Patterson Hyatt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Patterson Hyatt reassigns Medicare benefits to Centro De Salud De La Comunidad De San Ysidro, Inc. (San Diego, CA). The 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 Kimberly Patterson Hyatt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kimberly Patterson Hyatt was last updated on February 21, 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.