Healthcare Provider Details

I. General information

NPI: 1902712649
Provider Name (Legal Business Name): HASTINGS PSYCHOLOGY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

892 JENSEN LN
WINDSOR CA
95492-9139
US

IV. Provider business mailing address

892 JENSEN LN
WINDSOR CA
95492-9139
US

V. Phone/Fax

Practice location:
  • Phone: 707-280-9923
  • Fax:
Mailing address:
  • Phone: 707-280-9923
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. ELLIOTT COLLINS HASTINGS
Title or Position: CLINICAL PSYCHOLOGIST/ OWNER
Credential: PSY. D
Phone: 707-280-9923