NPI Code Details Logo

NPI 1922127083

NPI 1922127083 : EUGENE FRANCIS SCHILLER PSY.D, LCSW : SAN DIEGO, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1922127083
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    EUGENE FRANCIS SCHILLER PSY.D, LCSW
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    03/28/2007
-----------------------------------------------------
    Last Update Date     |    09/11/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    4550 KEARNY VILLA RD #214
-----------------------------------------------------
    City                 |    SAN DIEGO
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    92123-1578
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    858-560-7533
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    2901 MEADOW LARK DR JUVENILE FORENSIC SERVICES
-----------------------------------------------------
    City                 |    SAN DIEGO
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    92123-2711
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    619-671-6530
-----------------------------------------------------
    Fax                  |    619-761-6538
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    103TC2200X
-----------------------------------------------------
    Taxonomy Name        |    Clinical Child & Adolescent Psychologist
-----------------------------------------------------
    License Number       |    PSY 17118
-----------------------------------------------------
    License Number State |    CA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    103TF0200X
-----------------------------------------------------
    Taxonomy Name        |    Forensic Psychologist
-----------------------------------------------------
    License Number       |    PSY 17118
-----------------------------------------------------
    License Number State |    CA
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    103T00000X
-----------------------------------------------------
    Taxonomy Name        |    Psychologist
-----------------------------------------------------
    License Number       |    PSY 17118
-----------------------------------------------------
    License Number State |    CA
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    1041C0700X
-----------------------------------------------------
    Taxonomy Name        |    Clinical Social Worker
-----------------------------------------------------
    License Number       |    LCSW 8827
-----------------------------------------------------
    License Number State |    CA
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.