CRAIG TEOFILO


Address: 480 Alta Road, San Diego, CA 92198
Phone: 6192792473

CRAIG TEOFILO (NPI# 1235478652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TF0200X Psychologist
Specialization: Forensic
PSY 17292 CA Behavioral Health & Social Service Providers

Office Location

Street Address 480 ALTA ROAD
City SAN DIEGO
State CA
Zip Code 92198

Providers in the same location

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

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316345382 Kelly Christine O'neill Psychologist 16767 Bernardo Center Dr. L1#270289, San Diego, CA 92198 2014-12-08

Providers in the same city

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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
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Taxonomy Information

Taxonomy Code 103TF0200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Forensic

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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Competitor

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City SAN DIEGO
Zip Code 92198

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Dataset Information

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.

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