Elisabeth Myriam Taina Pattishall

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1900 S Norfolk St Ste 205
San Mateo, CA 94403-1184

Phone

(650) 242-0179

Fax

(650) 242-8202

NPI assigned

May 25, 2023

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

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

{
    "created_epoch": "1684972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1376235457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 LOS BANOS AVE",
            "city": "MOSS BEACH",
            "state": "CA",
            "postal_code": "940389744",
            "telephone_number": "415-312-2279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 S NORFOLK ST STE 205",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944031184",
            "telephone_number": "650-242-0179",
            "fax_number": "650-242-8202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTISHALL",
        "first_name": "ELISABETH",
        "middle_name": "MYRIAM TAINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-25",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fernanda Patino
• Judith W Paton, MA
• Sandra Patron, D.M.D.
• Katherine Marie Patterson, MFTI
• Michelle J Patterson, MPH, CHES
• Pamela Patton
• Trena Lavon Patton
• Paul Edward Wender MD
• Eliana Alexandra Pava Ramirez
• Tyler D Pavik

• Behavior Technician in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; 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.