Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Rady Children's Hospital San Diego

Organization Clinical Psychologist · NPI 1750458485

Rady Children's Hospital San Diego provides Clinical Psychologist services in San Diego, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
Specialties on file
3
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Practice location Address checks out

8010 Frost St Ste 200
San Diego, CA 92123 Not confirmed with CMS for 15 years — call before visiting
Phone: (858) 966-5817
Fax: (858) 966-8528
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Children's Hospital (primary) Taxonomy 282NC2000X · Licence 080000028 (CA)
Clinical Psychologist Taxonomy 103TC0700X
Children's Hospital Taxonomy 282NC2000X · Licence PSY11584 (CA)

Record details

NPI number1750458485
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffery Olson — Supervisor Dev Srvs Operations · (858) 966-5416
Other names Developmental Evaluation Clinci
NPI enumeratedNovember 29, 2006
Last updated in NPPESJune 3, 2011
Mailing address3020 Childrens Way, Mc5023, San Diego, CA 92123-4223

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