Stephanie Marie Chiquillo, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

3143 Mission St
San Francisco, CA 94110-4503

Phone

(415) 872-7458

NPI assigned

Jun 4, 2014

Reactivated

Jul 23, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

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 Central American Resource Center of Norther Ca

  • Case Management Agency
  • San Francisco, CA
  • NPI 1366531428
  NPD

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

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1639582976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3143 MISSION ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941104503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3143 MISSION ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941104503",
            "telephone_number": "415-872-7458"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2919 Mission St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941103917",
            "country_code": "US",
            "telephone_number": "415-229-0500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3101 Mission St Ste 101",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941104581",
            "country_code": "US",
            "telephone_number": "415-872-7458",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHIQUILLO",
        "first_name": "STEPHANIE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-04",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "deactivation_date": "2023-10-04",
        "reactivation_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Jessica Chinn
• Gladys Chona Chiong
• Wen Hao Chiong, MBBS
• Winston Chiong, M.D., PH.D.
• James Chionsini Jr.
• Brian Tanaka Chirairo
• Stephanie Chiri
• Kathia Chirinos, RN
• Chiro Medical Group, Inc
• Chiro-Medical Group, Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; 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.