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DR. JEFFREY BRUCE ELLIOTT PSYD
NPI 1114919263
Psychologist - Clinical in San Luis Obispo, CA

Active since August 16, 2005
2178 JOHNSON AVE, SAN LUIS OBISPO, CA 93401(805) 781-5525(805) 781-1232 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jeffrey Bruce Elliott Psyd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JEFFREY BRUCE ELLIOTT PSYD (NPI 1114919263) is an individual clinical provider in San Luis Obispo, California, licensed in California (PSY 17917) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1114919263
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JEFFREY BRUCE ELLIOTTCredential: PSYD
Location Address2178 JOHNSON AVESan Luis Obispo, CA 93401-4535
Mailing AddressPo Box 425Santa Maria, CA 93456-0425 · (805) 934-5900
Phone(805) 781-5525
Fax(805) 781-1232
Sole ProprietorYes
Enumeration DateAugust 16, 2005
Last NPPES UpdateJuly 8, 2007
✔ NPI 1114919263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · PSY 17917
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
2178 JOHNSON AVE, San Luis Obispo, CA 93401
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Other Identifiers 2

Medicare UPIN50620
Medicare ID-Type UnspecifiedCP 17917CA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CALLIE ROSE BOLLER
Marriage & Family Therapist
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 781-4700
CAMDEN SCHLEISNER
Psychiatric Hospital
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 781-4711
SUSIE JULIANA BAUTISTA
Marriage & Family Therapist
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 781-4960
THOMAS BURDICK
Counselor (Mental Health)
2178 JOHNSON AVE
SAN LUIS OBISBO, CA 93401
San Luis Obispo County (805) 781-4711
KIMBERLY SEAMAN
Counselor (Mental Health)
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 781-4700
JENNIFER N KUIKEN LPT
Licensed Psychiatric Technician
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 781-4712
RONALD ANTHONY VERDUSCO
Nurse's Aide
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 781-4711
RANDY LEE SCHEIDERER PSYCHIATRIC TECH
Licensed Psychiatric Technician
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 781-4723

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeffrey Elliott's NPI number?

The NPI number for Jeffrey Elliott is 1114919263. It was assigned to this individual provider in the NPPES registry on August 16, 2005.

Where is Jeffrey Elliott located?

Jeffrey Elliott practices at 2178 Johnson Ave, San Luis Obispo, CA 93401. The listed phone number is (805) 781-5525.

What is Jeffrey Elliott's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Jeffrey Elliott was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.