Tiffany Gerondale

Primary specialty

PsychologistTaxonomy code 103T00000X

License

33838

Practice address

9466 Black Mountain Rd Ste 100
San Diego, CA 92126-4550

Phone

(858) 689-2027

NPI assigned

Nov 16, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Autism Group, Inc.

  • Specialist
  • San Diego, CA
  • NPI 1619265311
  NPD (past)
• Therapeutic Approach to Growth, Inc.

  • Behavior Analyst
  • San Diego, CA
  • NPI 1699153700
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1479254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479254400000",
    "number": "1083156335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9466 BLACK MOUNTAIN RD STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9466 BLACK MOUNTAIN RD STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264550",
            "telephone_number": "858-689-2027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERONDALE",
        "first_name": "TIFFANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-16",
        "last_updated": "2016-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": "33838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew F. Geromi, D.O.
• Karla Geromo
• Hannah Clariza Santana Gerona
• Lynell Gerona
• Joseph Andrew Gerondale
• Ludmila Gerova, M.D.
• Darlene Ethelda Gerow, M.S.
• Esther Huang Gerrard, MA, CCC-SLP
• Gregory G. Gerras, MD
• Madison Gersbacher

• Psychologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.