Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Rady Children's Hospital

Organization Clinical Psychologist · NPI 1629219845

Rady Children's Hospital is a Clinical Psychologist in San Diego, California. Licensed in California. Registered with an NPI since 2009.

Licensed in
CA
In the registry since
2009

Practice location Address checks out

3020 Childrens Way # MC5081
San Diego, CA 92123-4223
Phone: (858) 576-1700
Fax: (858) 966-8495
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY22035 (CA)

Record details

NPI number1629219845
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christine Forest — Contract Specialist · (858) 966-7716
NPI enumeratedMarch 18, 2009
Last updated in NPPESMarch 18, 2009
Mailing address3020 Childrens Way, San Diego, CA 92123-4223

Other providers in San Diego