MEDICARE: SHAUL M SADDICK PHD., APC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103G00000X	Clinical Neuropsychologist

General Provider Information

NPI Number	:	1699624023
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHAUL M SADDICK PHD., APC

Provider Business Mailing Address
First Line	:	PO BOX 927857
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92192-7857
Country	:	US
Telephone Number	:	858-455-6587
Fax Number	:

Provider Business Practice Location Address
First Line	:	6046 CORNERSTONE CT W STE 102
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92121-4733
Country	:	US
Telephone Number	:	858-455-6587
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. SHAUL MURAD SADDICK
Credential	:	PHD
Telephone Number	:	858-455-6587

Provider Enumeration Date	:	01/27/2026
Last Update Date	:	01/27/2026

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