Healthcare Provider Details

I. General information

NPI: 1073047239
Provider Name (Legal Business Name): HILLCREST PSYCHOLOGICAL ASSOCIATES, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2017
Last Update Date: 02/01/2024
Certification Date: 02/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3734 6TH AVE
SAN DIEGO CA
92103-4317
US

IV. Provider business mailing address

PO BOX 33508
SAN DIEGO CA
92163-3508
US

V. Phone/Fax

Practice location:
  • Phone: 858-442-6674
  • Fax:
Mailing address:
  • Phone: 619-354-7400
  • Fax: 619-574-6964

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License NumberPSY 18698
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: ERINN TOZER
Title or Position: PRESIDENT
Credential: PH.D.
Phone: 858-442-6674