TIMOTHY CRAIG DURAZZO PHD
NPI 1740669852
Clinical Neuropsychologist in Palo Alto, CA

Q: What is Timothy Durazzo's NPI number?

The NPI number for Timothy Durazzo is 1740669852. It was assigned to this individual provider in the NPPES registry on May 21, 2015.

Q: What is Timothy Durazzo's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Q: When was this NPI record last updated?

The NPPES record for Timothy Durazzo was last updated on May 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since May 21, 2015PECOS Enrolled

3801 MIRANDA AVE, PALO ALTO, CA 94304(650) 493-5000 Get Directions Write a Review

NPPES record last updated: May 21, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Timothy Craig Durazzo Phd NPPES

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

TIMOTHY CRAIG DURAZZO PHD (NPI 1740669852) is an individual clinical neuropsychologist in Palo Alto, California, licensed in California (PSY27010) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1740669852

Entity TypeIndividualMale

Primary Taxonomy103G00000X

Provider Legal NameTIMOTHY CRAIG DURAZZOCredential: PHD

Location Address3801 MIRANDA AVEPalo Alto, CA 94304-1207

Mailing Address190 Sussex StSan Francisco, CA 94131-2935 · (415) 686-7609

Phone(650) 493-5000

Sole ProprietorNo

Medical School CMSOtherGraduated 1996

Enumeration DateMay 21, 2015

✔ NPI 1740669852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in CA · PSY27010

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

3801 MIRANDA AVE, Palo Alto, CA 94304

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Timothy Craig Durazzo Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628557766

PECOS Enrollment IDI20260209002514

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

DR. LAURA ELIZABETH STODDARD PHARMD

Pharmacist

3801 MIRANDA AVE
PALO ALTO, CA 94304

Santa Clara County (650) 493-5000

DR. KEVIN MCKENNA PH.D.

Psychologist (Clinical)

3801 MIRANDA AVE
PALO ALTO, CA 94304

Santa Clara County (650) 493-5000

VALLANCE WA-LUN AU-YEUNG PHARMD

Pharmacist

3801 MIRANDA AVE
PALO ALTO, CA 94304

Santa Clara County (650) 493-5000

ARLENE VICENTE-VELASCO

Registered Nurse

3801 MIRANDA AVE
PALO ALTO, CA 94304

Santa Clara County (650) 493-5000

MAHNOOSH KUHBANANI SEIFODDINI M.D.

Internal Medicine

3801 MIRANDA AVE, VA PALO ALTO HEALTH CARE SYSTEM (111STC)
PALO ALTO, CA 94304

Santa Clara County (209) 946-3400

DR. EDWARD LEE COHEN MD

Obstetrics & Gynecology

3801 MIRANDA AVE, #112
PALO ALTO, CA 94304

Santa Clara County (650) 493-5000

MRS. JEAN JONES GURGA OTR/L

Occupational Therapist

3801 MIRANDA AVE, PMRS (117)
PALO ALTO, CA 94304

Santa Clara County (650) 493-5000

MS. ELLEN WHITE FORD LCSW, MSW, MPH

Social Worker (Clinical)

3801 MIRANDA AVE, VAPAHCS SOCIAL WORK SERVICE, 122 PA
PALO ALTO, CA 94304

Santa Clara County (650) 493-5000

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 Timothy Durazzo's NPI number?

The NPI number for Timothy Durazzo is 1740669852. It was assigned to this individual provider in the NPPES registry on May 21, 2015.

Where is Timothy Durazzo located?

Timothy Durazzo practices at 3801 Miranda Ave, Palo Alto, CA 94304. The listed phone number is (650) 493-5000.

What is Timothy Durazzo's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Timothy Durazzo enrolled in Medicare?

Yes. Timothy Durazzo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Timothy Durazzo was last updated on May 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.