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 1649563065

Rady Children's Hospital San Diego is a Clinical Psychologist in San Diego, California. Licensed in California. Registered with an NPI since 2011.

Licensed in
CA
In the registry since
2011
Specialties on file
3
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

11752 El Camino Real Ste 100
San Diego, CA 92130-2050
Phone: (858) 793-9591
Fax: (858) 793-0431
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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
General Acute Care Hospital Taxonomy 282N00000X · Licence 080000028 (CA)

Record details

NPI number1649563065
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 Eval Clinic - Torrey Hills Satellite
NPI enumeratedMay 18, 2011
Last updated in NPPESJanuary 22, 2025
Certification dateJanuary 22, 2025
Mailing address3020 Childrens Way, Mc 5023, San Diego, CA 92123-4223

Other providers in San Diego