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

Rady Children's Hospital San Diego

Organization Clinical Psychologist · NPI 1639387681

Rady Children's Hospital San Diego is a Clinical Psychologist in San Diego, California. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
3
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Practice location Address checks out

3665 Kearny Villa Rd Ste 440
San Diego, CA 92123-1953
Phone: (858) 966-1700
Fax: (858) 966-7803
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Acute Care Hospital (primary) Taxonomy 282N00000X
Clinical Psychologist Taxonomy 103TC0700X
Psychiatric Hospital Unit Taxonomy 273R00000X

Record details

NPI number1639387681
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationRady Children's Hospital San Diego
Authorized official Virginia Bial — Program Manager · (858) 576-1700
Other names Developmental Evaluation Clinic; Developmental Evaluation Clinic
NPI enumeratedMay 21, 2007
Last updated in NPPESJanuary 22, 2025
Certification dateJanuary 22, 2025
Mailing address3020 Childrens Way, Mc 5023, San Diego, CA 92123-4223

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