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SAN MATEO COUNTY NPI 1093807315


NPI Information

NPI: 1093807315
Provider Name: SAN MATEO COUNTY

Doing Business As: PALOS VERDES

Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

Address:
1290 COMMODORE DR
SAN BRUNO, CA
ZIP 94066
Phone: (650) 583-1260
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SAN MATEO COUNTY is a psychiatry psychiatry neurology in San Bruno, CA. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. SAN MATEO COUNTY NPI is 1093807315. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Palos Verdes.

The provider's business location address is:

1290 COMMODORE DR
SAN BRUNO, CA
ZIP 94066-304
Phone: (650) 583-1260

The provider's authorized official is Scott Gilman .
The authorized official title is Mental Health Director and has the following contact phone number (650) 573-2748.

The enumeration date for this NPI number is 9/28/2006 and was last updated on 8/26/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental HealthNo
2103TC0700XPsychologistClinicalNo
31041C0700XSocial WorkerClinicalNo
4106H00000XMarriage & Family TherapistNo
52084P0800XPsychiatry & NeurologyPsychiatryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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