Healthcare Provider Details

I. General information

NPI: 1902035942
Provider Name (Legal Business Name): SARAH ASHLEY HILL PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SARAH ASHLEY JOHNSON

II. Dates (important events)

Enumeration Date: 07/13/2009
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1925 S WINCHESTER BLVD STE 204
CAMPBELL CA
95008-1038
US

IV. Provider business mailing address

1925 S WINCHESTER BLVD STE 204
CAMPBELL CA
95008-1038
US

V. Phone/Fax

Practice location:
  • Phone: 669-240-5509
  • Fax:
Mailing address:
  • Phone: 760-265-1556
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPSY33546
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: