Provider Type Icon

DR. STEWART EDWARD TEAL M.D. NPI 1902809460


NPI Information

NPI: 1902809460
Provider Name: DR. STEWART EDWARD TEAL, M.D.
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Individual

Specialization: Child & Adolescent Psychiatry

Address:
811 GRAND AVE STE D
SACRAMENTO, CA
ZIP 95838
Phone: (916) 922-9868
Get Directions

DR. Stewart Edward Teal, M.D. is a child and adolescent psychiatry psychiatry neurology in Sacramento, CA. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. DR. Stewart Edward Teal, M.D. NPI is 1902809460. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

811 GRAND AVE STE D
SACRAMENTO, CA
ZIP 95838-466
Phone: (916) 922-9868
Fax: (916) 922-7342

The enumeration date for this NPI number is 5/27/2005 and was last updated on 9/27/2013.


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
12084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryC30919MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1C30919MEDICARE UPINCALIFORNIA
200C309190MEDICARE UPINCALIFORNIA
3060879MEDICARE UPINCALIFORNIA
4005583-000OTHERCALIFORNIAMAGELLAN

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.