CRAIG TEOFILO (NPI# 1235478652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235478652 |
Entity Type | Individual |
Full Name | CRAIG TEOFILO |
Credential | PSY.D. |
Practice Address |
480 Alta Road San Diego CA 92198 |
Mailing Address |
Po Box 28995 San Diego CA 92198-0995 |
Practice Telephone | 6192792473 |
Mailing Telephone | 6192792473 |
Enumeration Date | 2013-02-05 |
Last Update Date | 2013-02-05 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TF0200X |
Psychologist Specialization: Forensic |
PSY 17292 | CA | Behavioral Health & Social Service Providers |
Street Address |
480 ALTA ROAD |
City | SAN DIEGO |
State | CA |
Zip Code | 92198 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730351370 | Malvern C Holland Jr. | Psychologist | 480 Alta Road, R.j. Donovan Correctional Facility, San Diego, CA 92179-0001 | 2008-03-24 |
1205462769 | Corrections and Rehabilitation | Pharmacy | 480 Alta Road, Pharmacy Building Room 122, San Diego, CA 92179 | 2020-03-17 |
1104343946 | Ruth Ann Villasenor | Social Worker | 480 Alta Road, San Diego, CA 92179 | 2017-08-23 |
1902171614 | Alan Greg Springer | Pharmacist | 480 Alta Road, San Diego, CA 92179-0001 | 2012-03-13 |
1063657385 | Charles Fielding Marsh | Psychiatry & Neurology | 480 Alta Road, San Diego, CA 92179 | 2008-12-16 |
1932374238 | John Charles Preston IIi | Psychiatry & Neurology | 480 Alta Road, San Diego, CA 92179 | 2008-04-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316345382 | Kelly Christine O'neill | Psychologist | 16767 Bernardo Center Dr. L1#270289, San Diego, CA 92198 | 2014-12-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538760210 | Vanessa Nunez | Nursing Home Administrator | 1697 Donax Ave, San Diego, CA 92154-1004 | 2020-11-08 |
1295336956 | Ryan Russo | Clinical Nurse Specialist | 2376 Soto St, San Diego, CA 92107-1410 | 2020-11-07 |
1689275331 | Brenda L Curtis | Marriage & Family Therapist | 9191 Towne Centre Dr Ste 103, San Diego, CA 92122-1227 | 2020-11-07 |
1114528940 | Kaiser Foundation Health Plan Inc | Pharmacy | 4647 Zion Ave Fl4, Rm 4825, San Diego, CA 92120-2507 | 2020-11-06 |
1952902801 | Keri Castaneda | Behavior Technician | 025 Camino Del Rio South Suite 101, San Diego, CA 92108 | 2020-11-06 |
1396346359 | Christina L Thomas | Counselor | 4611 Alamo Dr, San Diego, CA 92115-5907 | 2020-11-05 |
1316548456 | Paulo Conceicao | Massage Therapist | 6559 Comly St, San Diego, CA 92111-5401 | 2020-11-05 |
1346841541 | Guadalupe Ibarra Sanders | Registered Nurse | 9022 Flanders Dr, San Diego, CA 92126-2826 | 2020-11-04 |
1720689987 | Capsule San Diego LLC | Pharmacy | 1450 Columbia St Ste B, San Diego, CA 92101-3487 | 2020-11-04 |
1265033583 | Mission Bay Hospice, Inc. | Hospice Care, Community Based | 10251 Vista Sorrento Pkwy Ste 280b, San Diego, CA 92121-3774 | 2020-11-03 |
Find all providers in SAN DIEGO |
Taxonomy Code | 103TF0200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Forensic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538620786 | San Diego Forensic Psychology Corporation | Psychologist | 4640 Cass Street, # 90422, San Diego, CA 92109 | 2019-03-29 |
1265997936 | Shanda Angioli | Psychologist | 4640 Cass St # 90422, San Diego, CA 92109-2804 | 2019-02-06 |
1942603550 | Rick Bjorklund | Psychologist | 4728 Allied Rd, San Diego, CA 92120-2412 | 2014-09-28 |
1538403100 | Shelby Moreira | Psychologist | 3063 Wing St, San Diego, CA 92110-4746 | 2012-11-20 |
1275789703 | Francisco Gomez | Psychologist | 325 W. Washington St. Ste. 2, #117, San Diego, CA 92103 | 2008-08-15 |
1548889868 | Diana Avalle | Psychologist | 10065 Old Grove Rd Ste 101, San Diego, CA 92131-1664 | 2020-04-16 |
1790211712 | Jessica Jean Gayle | Psychologist | 4100 Normal St, San Diego, CA 92103-2653 | 2017-05-11 |
1942677935 | Morgan Shaw | Psychologist | 10065 Old Grove Rd Ste 101, San Diego, CA 92131-1664 | 2015-08-26 |
1760782247 | Lee Inbar | Psychologist | 286 Euclid Ave Ste 102, San Diego, CA 92114-3611 | 2010-10-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962049130 | Ashley Cohen | Psychologist | 320 Linda Dr, Hollister, CA 95023-6646 | 2019-12-05 |
1174185540 | Daisy Covarrubias | Psychologist | 9727 Diana Ave, Riverside, CA 92503-4281 | 2019-07-05 |
1982169587 | Jocelyn Roland | Psychologist | 2937 Veneman Ave Ste B125, Modesto, CA 95356-0690 | 2019-02-07 |
1841755626 | Brianna Marie Alcantar | Psychologist | 855 E Laurel Dr Bldg H, Salinas, CA 93905-1300 | 2019-02-05 |
1316423692 | Millie Georganna Herrera | Psychologist | 4001 State Higheay 104, Ione, CA 95640 | 2018-07-19 |
1003308446 | Kiara Dixon | Psychologist | 15501 San Pablo Ave # G-317, Richmond, CA 94806-5848 | 2018-06-01 |
1700322633 | Lindsay Heber | Psychologist | 28204 Picadilly Pl, Castaic, CA 91384-3830 | 2017-01-17 |
1295193738 | Schuyler Weifu Liao | Psychologist | 2576 W San Ramon Ave, Fresno, CA 93711-2749 | 2016-01-28 |
1699132795 | Sara Kesl-tahan | Psychologist | 4731 W Jennifer Ave, Fresno, CA 93722-6425 | 2016-01-20 |
1083089494 | Catherine Constance Athens | Psychologist | 303 First St, Los Alto, CA 94022 | 2015-12-10 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.