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JERRY DATTILO BA
NPI 1669997854
Counselor - Mental Health in San Mateo, CA

Active since August 08, 2017
2600 S EL CAMINO REAL STE 200, SAN MATEO, CA 94403(650) 513-6122(650) 513-6122 Get Directions Write a Review

NPPES record last updated: August 8, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jerry Dattilo Ba NPPES

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

JERRY DATTILO BA (NPI 1669997854) is an individual mental health provider in San Mateo, California and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1669997854
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJERRY DATTILOCredential: BA
Location Address2600 S EL CAMINO REAL STE 200San Mateo, CA 94403-2382
Mailing Address2600 S El Camino Real Ste 200San Mateo, CA 94403-2382 · (650) 373-0777
Phone(650) 513-6122
Fax(650) 513-6122
Sole ProprietorNo
Enumeration DateAugust 8, 2017
✔ NPI 1669997854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2600 S EL CAMINO REAL STE 200, San Mateo, CA 94403
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Other Identifiers 1

Other1861530107CA · Employer

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.

NIKKI STOKMAN-FUENTES
Counselor (Mental Health)
2600 S EL CAMINO REAL STE 200
SAN MATEO, CA 94403
San Mateo County (650) 372-4080
KIMBERLY ROBINSON
Counselor (Mental Health)
2600 S EL CAMINO REAL STE 200
SAN MATEO, CA 94403
San Mateo County (650) 578-8691
AMANDA DUNNING
Counselor
2600 S EL CAMINO REAL STE 200
SAN MATEO, CA 94403
San Mateo County (650) 372-4080
MR. DIEGO ANTONIO RAMIREZ SANCHEZ
Community Health Worker
2600 S EL CAMINO REAL STE 200
SAN MATEO, CA 94403
San Mateo County (650) 372-4080
NUHA MAHMOUD GHANEM B.A
Case Manager/Care Coordinator
2600 S EL CAMINO REAL STE 200
SAN MATEO, CA 94403
San Mateo County (650) 770-6505
ERIN QUINN
Case Manager/Care Coordinator
2600 S EL CAMINO REAL STE 200
SAN MATEO, CA 94403
San Mateo County (650) 373-0777
NICOLE S BOYDSTON RN
Registered Nurse
2600 S EL CAMINO REAL STE 200
SAN MATEO, CA 94403
San Mateo County (650) 372-4080
KIM MARIE KUBAL
Student in an Organized Health Care Education/Training Program
2600 S EL CAMINO REAL STE 200
SAN MATEO, CA 94403
San Mateo County (650) 372-4080

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 Jerry Dattilo's NPI number?

The NPI number for Jerry Dattilo is 1669997854. It was assigned to this individual provider in the NPPES registry on August 8, 2017.

Where is Jerry Dattilo located?

Jerry Dattilo practices at 2600 S El Camino Real Ste 200, San Mateo, CA 94403. The listed phone number is (650) 513-6122.

What is Jerry Dattilo's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jerry Dattilo was last updated on August 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.