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ELENA TILLMAN
NPI 1689958449
Psychologist - Clinical in San Diego, CA

Active since September 28, 2011
2000 TRIDENT WAY, SAN DIEGO, CA 92155(619) 522-2825 Get Directions Write a Review

NPPES record last updated: March 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Elena Tillman NPPES

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

ELENA TILLMAN (NPI 1689958449) is an individual clinical provider in San Diego, California, licensed in Massachusetts (10654) and active in the NPI registry since September 2011.

NPPES Registry Identity

NPI1689958449
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameELENA TILLMAN
Location Address2000 TRIDENT WAYSan Diego, CA 92155-5599
Mailing Address2000 Trident WaySan Diego, CA 92155-5599 · (413) 535-9622
Phone(619) 522-2825
Sole ProprietorYes
Enumeration DateSeptember 28, 2011
Last NPPES UpdateMarch 22, 2021
NPPES CertifiedMarch 22, 2021
✔ NPI 1689958449 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 MA · 10654
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.
2000 TRIDENT WAY, San Diego, CA 92155
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Other Providers at the Same Location NPPES 12

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

BRUCE JOHNSTON
Specialist/Technologist (Athletic Trainer)
2000 TRIDENT WAY
SAN DIEGO, CA 92155
San Diego County (513) 641-6644
ASHLEIGH NAVE
Military Health Care Provider
2000 TRIDENT WAY
SAN DIEGO, CA 92155
San Diego County (757) 763-4006
DR. SCOTT LOUCKS JOHNSTON PHD
Psychologist (Clinical)
2000 TRIDENT WAY
SAN DIEGO, CA 92155
San Diego County (619) 537-5117
BAILEY HARVEY
General Practice
2000 TRIDENT WAY
SAN DIEGO, CA 92155
San Diego County (619) 993-6423
KATHERINE ANNA PERLSWEIG MS, ATC, LAT, CSCS
Specialist/Technologist (Athletic Trainer)
2000 TRIDENT WAY, BLDG 624
SAN DIEGO, CA 92155
San Diego County (619) 437-1404
KORRINA RENE SCHINDLER PA, MPAS
Physician Assistant
2000 TRIDENT WAY, MEDICAL DEPARTMENT CODE 04
SAN DIEGO, CA 92155
San Diego County (619) 437-2496
DR. TIMOTHY W DEY PT, DPT, SCS, CSCS
Physical Therapist
2000 TRIDENT WAY, BLDG #636
SAN DIEGO, CA 92155
San Diego County (619) 537-3816
JILL BIGGANE RN
Registered Nurse (Case Management)
2000 TRIDENT WAY, BLDG 600 LOGSU
SAN DIEGO, CA 92155
San Diego County (619) 537-3281

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 Elena Tillman's NPI number?

The NPI number for Elena Tillman is 1689958449. It was assigned to this individual provider in the NPPES registry on September 28, 2011.

Where is Elena Tillman located?

Elena Tillman practices at 2000 Trident Way, San Diego, CA 92155. The listed phone number is (619) 522-2825.

What is Elena Tillman'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 Elena Tillman was last updated on March 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.