DR. DEBORAH CAREN PONTILLO (NPI# 1609992262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609992262 |
| Entity Type | Individual |
| Full Name | DR. DEBORAH CAREN PONTILLO |
| Credential | PH.D. |
| Practice Address |
12625 High Bluff Dr Suite #101 San Diego CA 92130-2052 |
| Practice Telephone | 8586924187 |
| Mailing Telephone | 8586924187 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
18934 | CA | Behavioral Health & Social Service Providers |
| Street Address |
12625 HIGH BLUFF DR SUITE #101 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92130-2052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902851900 | Lagasse Yates, Inc | Psychologist | 12625 High Bluff Dr, Suite 206, San Diego, CA 92130-2052 | 2006-05-24 |
| 1659877611 | Rachel Beaubier | Registered Nurse | 12625 High Bluff Dr, San Diego, CA 92130-2052 | 2018-03-30 |
| 1609284769 | Katie Tiemeyer | Speech-Language Pathologist | 12625 High Bluff Dr, Suite 105, San Diego, CA 92130-2052 | 2014-07-31 |
| 1386056240 | Caroline Morin | Psychiatry & Neurology | 12625 High Bluff Dr, Suite 305, San Diego, CA 92130-2052 | 2014-05-27 |
| 1598189375 | Botkiss Center for Tms Therapy | Psychiatry & Neurology | 12625 High Bluff Dr, Suite 312, San Diego, CA 92130-2052 | 2014-02-13 |
| 1760826705 | Deborah G Mishek | Pediatrics | 12625 High Bluff Dr, Suite 302, San Diego, CA 92130-2052 | 2013-04-22 |
| 1457604639 | Kris Gremillion | Speech-Language Pathologist | 12625 High Bluff Dr, Suite 113, San Diego, CA 92130-2052 | 2012-10-24 |
| 1477836856 | Jonathan Ortiz | Social Worker | 12625 High Bluff Dr, Suite 305, San Diego, CA 92130-2052 | 2011-09-22 |
| 1376830331 | Kimberly Ducker | Specialist/Technologist | 12625 High Bluff Dr, Suite #113, San Diego, CA 92130-2052 | 2011-06-28 |
| 1083948046 | Jacqueline Michelle Gamboa | Psychologist | 12625 High Bluff Dr, Suite 114, San Diego, CA 92130-2052 | 2009-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629692397 | Tlc Family Therapy | Marriage & Family Therapist | 5965 Village Way. Suite 105 #112, San Diego, CA 92130 | 2020-05-29 |
| 1447746169 | Jack Perlov | Psychiatry & Neurology | 3535 Caminito El Rincon, Unit 268, San Diego, CA 92130 | 2018-07-05 |
| 1326551003 | Theotokos, LLC | Pharmacy | 5550 Carmel Mountain Rd Ste 111, San Diego, CA 92130 | 2017-11-16 |
| 1154879146 | Halie Hommes | Occupational Therapist | 12250 El Camino Real Ste 250, San Diego, CA 92130 | 2016-09-19 |
| 1790232015 | Coastal Skin and Eye Institute, Inc. | Ophthalmology | 5550 Carmel Mountain Road, Suite 206, San Diego, CA 92130 | 2016-09-02 |
| 1720534951 | Nosti and Rygg Dental Corporation | Dentist | 5550 Carmel Mountain Road, Ste 200, San Diego, CA 92130 | 2016-08-28 |
| 1831644053 | Marco Savittieri | Dentist | 3715 Ruette De Vl, San Diego, CA 92130 | 2016-08-17 |
| 1336508621 | Discovery Practice Management, Inc | Psychiatric Residential Treatment Facility | 11455 Camino Real, Ste 360, San Diego, CA 92130 | 2016-02-16 |
| 1427434679 | Coast Pediatrics Carmel Valley | Pediatrics | 5965 Village Drive, Suite 201, San Diego, CA 92130 | 2015-08-10 |
| 1659753762 | T Sidal Dds Md Inc | Dentist | 12395 El Camino Real, Suite 304, Torrey Pines Oral & Maxillofacial Surgery, San Diego, CA 92130 | 2015-06-25 |
| Find all providers in zip 92130 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730711375 | Benjamin Alpert, Psyd, A Psychological Corporation | Psychologist | 2525 Camino Del Rio S Ste 305 Office2, San Diego, CA 92108-3717 | 2020-02-11 |
| 1134787815 | Kyline Sky Bellotti | Psychologist | 5025 Collwood Blvd # 3316, San Diego, CA 92115-2126 | 2019-05-29 |
| 1376007815 | San Diego Kids First | Psychologist | 12625 High Bluff Dr Ste 111, San Diego, CA 92130-2053 | 2019-01-29 |
| 1346628179 | Orchid Healthcare Inc | Psychologist | 15373 Innovation Drive, Ste 395, San Diego, CA 92128-3429 | 2015-05-13 |
| 1417394669 | Eliana Hurwich-reiss | Psychologist | 3665 Kearny Villa Rd Ste 200, San Diego, CA 92123-1954 | 2013-05-29 |
| 1548517287 | Jamie Lynn Young | Psychologist | 11665 Avena Pl Ste 204, San Diego, CA 92128-2428 | 2012-08-13 |
| 1063733707 | Kristen J Peairs | Psychologist | 1224 Bush St, San Diego, CA 92103-2809 | 2010-06-16 |
| 1265661714 | Lauren Brookman-frazee | Psychologist | 3020 Children's Way (mc 5033), San Diego, CA 92123 | 2009-07-06 |
| 1083879506 | Mary Lou Macilvaine | Psychologist | 4313 Ridgeway Dr, San Diego, CA 92116-2052 | 2008-07-24 |
| 1144330382 | Mary J Baker-ericzen | Psychologist | 3990 Old Town Ave Ste A207, San Diego, CA 92110-2967 | 2006-08-30 |
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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.