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 1750458485

Rady Children's Hospital San Diego is a Clinical Psychologist 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
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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