MR. TODD STUART ELWYN (NPI# 1700035367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700035367 |
| Entity Type | Individual |
| Full Name | MR. TODD STUART ELWYN |
| Credential | M.D. |
| Practice Address |
1000 Marina Boulevard Suite 100 Brisbane CA 94005-1839 |
| Practice Telephone | 6504167830 |
| Practice Fax Number | 6508718874 |
| Mailing Telephone | 6504167830 |
| Mailing Fax Number | 6508718874 |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2014-03-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084F0202X |
Psychiatry & Neurology Specialization: Forensic Psychiatry |
MD-11858 | HI | Allopathic & Osteopathic Physicians |
| N | 2084F0202X |
Psychiatry & Neurology Specialization: Forensic Psychiatry |
A98044 | CA | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD-11858 | HI | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
A98044 | CA | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
A98044 | CA | Allopathic & Osteopathic Physicians |
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
MD-11858 | HI | Allopathic & Osteopathic Physicians |
| Street Address |
1000 MARINA BOULEVARD SUITE 100 |
| City | BRISBANE |
| State | CA |
| Zip Code | 94005-1839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588874028 | James E. Fitzgerald, Dds Inc | Clinic/Center | 100 Old County Road, Ste 100b, Brisbane, CA 94005 | 2007-05-23 |
| 1598973190 | Barry Michael Sherman | Internal Medicine | Bipar Science, Inc., 1000 Marina Blvd., Suite 550, Brisbane, CA 94005 | 2007-05-18 |
| 1396882353 | Sadna G Patel | Counselor | 415 Swallowtail Court, Brisbane, CA 94005 | 2007-01-31 |
| 1689607384 | Care Dx, Inc. | Clinical Medical Laboratory | 3260 Bayshore Blvd, Brisbane, CA 94005 | 2006-07-08 |
| 1639233133 | Frank L Fay | Dentist | 1405 Huntington Avenue, #217, South San Francisco, CA 94005 | 2006-12-20 |
| 1922386523 | Focus Surgical | Durable Medical Equipment & Medical Supplies | 100 N Hill Dr, Suite 43, Brisbane, CA 94005-1017 | 2011-07-30 |
| 1508127176 | Robert Stephen Fishman | Internal Medicine | 3280 Bayshore Blvd, Brisbane, CA 94005-1021 | 2012-05-31 |
| 1073754081 | Judith Wilber | Pathology | 3260 Bayshore Blvd, Brisbane, CA 94005-1021 | 2009-03-20 |
| 1073146841 | Kit Bio | Clinical Medical Laboratory | 150 N Hill Dr Ste 10, Brisbane, CA 94005-1023 | 2020-02-19 |
| 1427580109 | Oncocyte, Corporation | Clinical Medical Laboratory | 150 N Hill Dr Ste 14, Brisbane, CA 94005-1023 | 2017-03-31 |
| Find all providers in zip 94005 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| 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. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
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| 1043848872 | Nelson Md and Lochhead Md, A Professional Medical Corporation | Psychiatry & Neurology | 28202 Cabot Rd Ste 635, Laguna Niguel, CA 92677-1222 | 2020-03-28 |
| 1003455460 | Ranvinder Kaur Rai Md | Psychiatry & Neurology | 39676 Mission Blvd, Fremont, CA 94539-3000 | 2020-01-03 |
| 1043856073 | Ocean View Neuropsychiatry | Psychiatry & Neurology | 31862 Coast Highway Unit 302, Laguna Beach, CA 92651 | 2019-11-25 |
| 1275190068 | Allan S Abrams Md Inc | Psychiatry & Neurology | 4726 Winnetka Ave, Woodland Hills, CA 91364-4737 | 2019-05-28 |
| 1225527427 | Better Life Therapy, Inc. | Psychiatry & Neurology | 9520 Escondido Canyon Rd, Santa Clarita, CA 91390-4811 | 2018-05-03 |
| 1821515099 | J. Kirk Hartman, M.d. | Psychiatry & Neurology | 3860 Blackhawk Rd # 120, Danville, CA 94506-4905 | 2017-08-28 |
| 1912432055 | Centered Health LLC | Psychiatry & Neurology | 6422 W 6th St, Los Angeles, CA 90048-4714 | 2017-04-26 |
| 1255871182 | Carol R Harrus | Psychiatry & Neurology | 517 Patricia Ln, Palo Alto, CA 94303-2856 | 2017-02-25 |
| 1437539509 | Ehab Yacoub, Md Inc. | Psychiatry & Neurology | 1225 W 190th St Ste 470, Gardena, CA 90248-4316 | 2015-06-04 |
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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.