Healthcare Provider Details

I. General information

NPI: 1922127083
Provider Name (Legal Business Name): EUGENE FRANCIS SCHILLER PSY.D, LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/28/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4550 KEARNY VILLA RD #214
SAN DIEGO CA
92123-1578
US

IV. Provider business mailing address

2901 MEADOW LARK DR JUVENILE FORENSIC SERVICES
SAN DIEGO CA
92123-2711
US

V. Phone/Fax

Practice location:
  • Phone: 858-560-7533
  • Fax:
Mailing address:
  • Phone: 619-671-6530
  • Fax: 619-761-6538

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPSY 17118
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License NumberPSY 17118
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code103TF0200X
TaxonomyForensic Psychologist
License NumberPSY 17118
License Number StateCA
# 4
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW 8827
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: