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THEODORE FLANAGAN
NPI 1477440097
Peer Specialist in San Luis Obispo, CA

Active since June 18, 2025
2975 MCMILLAN AVE STE 164, SAN LUIS OBISPO, CA 93401(805) 439-4890 Get Directions Write a Review

NPPES record last updated: June 18, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Theodore Flanagan NPPES

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

THEODORE FLANAGAN (NPI 1477440097) is an individual peer specialist in San Luis Obispo, California and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1477440097
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameTHEODORE FLANAGAN
Location Address2975 MCMILLAN AVE STE 164San Luis Obispo, CA 93401-6768
Mailing Address2975 Mcmillan Ave Ste 164San Luis Obispo, CA 93401-6768 · (805) 439-4890
Phone(805) 439-4890
Sole ProprietorNo
Enumeration DateJune 18, 2025
NPPES CertifiedJune 18, 2025
✔ NPI 1477440097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
2975 MCMILLAN AVE STE 164, San Luis Obispo, CA 93401
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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.

BETHANY J SHAKESPEARE MS, LMFT
Marriage & Family Therapist
2975 MCMILLAN AVE STE 164
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 439-4890
MERCEDES RUIZ
Day Training/Habilitation Specialist
2975 MCMILLAN AVE STE 164
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 439-4890
CADEN JAMES ADAMS
Peer Specialist
2975 MCMILLAN AVE STE 164
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 439-4890
ELINA LANDIN
Rehabilitation Practitioner
2975 MCMILLAN AVE STE 164
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 439-4890
RANDALL THOMAS JR.
Licensed Psychiatric Technician
2975 MCMILLAN AVE STE 164
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 438-3890
MARIA GUEVARA
Peer Specialist
2975 MCMILLAN AVE STE 164
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 245-1601
MONICA MENDEZ
Day Training/Habilitation Specialist
2975 MCMILLAN AVE STE 164
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 439-4890
NICHOLE MARIE WINTERS
Day Training/Habilitation Specialist
2975 MCMILLAN AVE STE 164
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 439-4890

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 Theodore Flanagan's NPI number?

The NPI number for Theodore Flanagan is 1477440097. It was assigned to this individual provider in the NPPES registry on June 18, 2025.

Where is Theodore Flanagan located?

Theodore Flanagan practices at 2975 Mcmillan Ave Ste 164, San Luis Obispo, CA 93401. The listed phone number is (805) 439-4890.

What is Theodore Flanagan's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Theodore Flanagan was last updated on June 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.