DR. STEWART EDWARD TEAL (NPI# 1902809460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902809460 |
| Entity Type | Individual |
| Full Name | DR. STEWART EDWARD TEAL |
| Credential | M.D. |
| Practice Address |
811 Grand Ave Ste D Sacramento CA 95838-3466 |
| Practice Telephone | 9169229868 |
| Practice Fax Number | 9169227342 |
| Mailing Telephone | 9169229868 |
| Mailing Fax Number | 9169227342 |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2013-09-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
C30919 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MAGELLAN | 005583-000 | 01 |
| Street Address |
811 GRAND AVE STE D |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95838-3466 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720611593 | Lourdes Palmira Salinas | Case Manager/Care Coordinator | 811 Grand Ave Ste D, Sacramento, CA 95838-3466 | 2020-02-19 |
| 1881233492 | Roger Xiong | Marriage & Family Therapist | 811 Grand Ave Ste D, Sacramento, CA 95838-3466 | 2019-12-30 |
| 1134763493 | Kendra H Gooding | Social Worker | 811 Grand Ave Ste D, Sacramento, CA 95838-3466 | 2019-10-30 |
| 1770126534 | Melanie Moua | Case Manager/Care Coordinator | 811 Grand Ave Ste D, Sacramento, CA 95838-3466 | 2019-10-24 |
| 1760025449 | Roxana Itssamar Martinez | Case Manager/Care Coordinator | 811 Grand Ave Ste D, Sacramento, CA 95838-3466 | 2019-10-24 |
| 1750924437 | May Ko Ya | Case Manager/Care Coordinator | 811 Grand Ave Ste D, Sacramento, CA 95838-3466 | 2019-10-24 |
| 1043868730 | Khalil Myoung Butler | Case Manager/Care Coordinator | 811 Grand Ave Ste D, Sacramento, CA 95838-3466 | 2019-08-27 |
| 1780142851 | Olivia Schulz | Marriage & Family Therapist | 811 Grand Ave Ste D, Sacramento, CA 95838-3466 | 2019-03-07 |
| 1497256556 | Jenny Nguyen | Case Manager/Care Coordinator | 811 Grand Ave Ste D, Sacramento, CA 95838-3466 | 2018-02-23 |
| 1982116711 | Dina Elmuti-hasan | Social Worker | 811 Grand Ave Ste D, Sacramento, CA 95838-3466 | 2017-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467898106 | Reset Youth Treatment Enterprises | Clinic/Center | 3725 Marysville Boulevard, Suite 337, Sacramento, CA 95838 | 2013-05-21 |
| 1508193996 | Associated Medical Transport | Non-emergency Medical Transport (VAN) | 181 Grace Avenue, Sacramento, CA 95838 | 2009-11-05 |
| 1619131828 | Charlene Sashington | Counselor | 310 Harris Avenue, Ste A, Sacramento, CA 95838 | 2008-07-16 |
| 1164694451 | Jerry Lee Hull | Counselor | 310 Harris Avenue Suite A, Sacramento, CA 95838 | 2008-03-27 |
| 1831361294 | Diane Yvonne Dickinson | Counselor | 310 Harris Avenue, Suite A, Sacramento, CA 95838 | 2008-03-26 |
| 1629131073 | Ernesto S Orendain | Chiropractor | 3901 Norwood Ave, Suite A, Sacramento, CA 95838 | 2006-12-18 |
| 1518033901 | Cynthia Max-wright | Marriage & Family Therapist | 395 Performance Dr, Ste G, Sacramento, CA 95838 | 2006-11-28 |
| 1134185333 | Lu Saelee | Counselor | 310 Harris Avenue, Suite A, Sacramento, CA 95838 | 2006-04-25 |
| 1669438008 | Ming-huei Wu | Registered Nurse | 3950 Research Drive, Sacramento, CA 95838 | 2006-04-25 |
| 1366439358 | Kci Usa, Inc. | Durable Medical Equipment & Medical Supplies | 3951 Performance Dr, Ste H, Sacramento, CA 95838 | 2005-10-04 |
| Find all providers in zip 95838 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962530394 | Penelope K Knapp | Psychiatry & Neurology | 1600 9th St, Suite 151, Sacramento, CA 95814-6404 | 2007-02-28 |
| 1649349556 | David Rue | Psychiatry & Neurology | 8001 Folsom Blvd Ste 110, Sacramento, CA 95826-2621 | 2006-11-06 |
| 1275613168 | Don Young | Psychiatry & Neurology | 7171 Bowling Dr Ste 300, Sacramento, CA 95823-2043 | 2006-10-16 |
| 1982714143 | Fatemeh Shirin Ghaheri | Psychiatry & Neurology | 3671 Business Drive, Suite #100, Caare Diagnostic & Treatment Center, Sacramento, CA 95820-2165 | 2006-08-30 |
| 1972516714 | Mark David Edelstein | Psychiatry & Neurology | 1933 9th Ave, Sacramento, CA 95818-4214 | 2006-08-14 |
| 1063433100 | Marigold Nabong-verzosa | Psychiatry & Neurology | 8912 Volunteer Ln, Sacramento, CA 95826-3221 | 2006-07-22 |
| 1841215001 | Harry Carl Wang | Psychiatry & Neurology | 6355 Riverside Blvd, Suite S, Sacramento, CA 95831-1143 | 2006-07-12 |
| 1568445450 | Malia Audrey Mccarthy | Psychiatry & Neurology | 9343 Tech Center Dr, Sacramento, CA 95826-2563 | 2005-11-23 |
| 1134101454 | Robert O. Horst | Psychiatry & Neurology | 3331 Power Inn Rd Ste 140, Sacramento, CA 95826-3889 | 2005-11-14 |
| 1073046199 | Melinda Armstead | Psychiatry & Neurology | 2230 Stockton Blvd, Sacramento, CA 95817-1353 | 2017-04-05 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95838 |
Please comment or provide details below to improve the information on DR. STEWART EDWARD TEAL.
| 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.