Healthcare Provider Details

I. General information

NPI: 1629113634
Provider Name (Legal Business Name): HEATHER LEIGH ONEILL PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HEATHER TOWNSEND PSYD

II. Dates (important events)

Enumeration Date: 02/20/2007
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1045 9TH AVE
SAN DIEGO CA
92101-5504
US

IV. Provider business mailing address

750 B ST STE 2870
SAN DIEGO CA
92101-8132
US

V. Phone/Fax

Practice location:
  • Phone: 619-235-2600
  • Fax:
Mailing address:
  • Phone: 619-722-0014
  • Fax: 619-327-4174

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number20042402A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY30720
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: