Mr Theodore Joseph Gradman, PHD - Psychologist in San Mateo, CA

Mr Theodore Joseph Gradman, PHD is a Psychologist - Cognitive & Behavioral based in San Mateo, California. Mr Theodore Joseph Gradman is licensed to practice in California (license number PSY12044) and his current practice location is 327 N San Mateo Dr, Suite 3, San Mateo, California. He can be reached at his office (for appointments etc.) via phone at (650) 340-0243.

NPI number for Mr Theodore Joseph Gradman is 1467666420 and his current mailing address is 327 N San Mateo Dr, Suite 3, San Mateo, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1467666420.

Contact Information

Mr Theodore Joseph Gradman, PHD
327 N San Mateo Dr, Suite 3,
San Mateo, CA 94401-2585
(650) 340-0243
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMr Theodore Joseph Gradman
GenderMale
SpecialityPsychologist - Cognitive & Behavioral
Location327 N San Mateo Dr, San Mateo, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1467666420
  • Provider Enumeration Date: 05/09/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mr Theodore Joseph Gradman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467666420NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TB0200XPsychologist - Cognitive & Behavioral PSY12044 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Theodore Joseph Gradman is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Theodore Joseph Gradman, PHD
327 N San Mateo Dr, Suite 3,
San Mateo, CA 94401-2585

Ph: (650) 340-0243
Mr Theodore Joseph Gradman, PHD
327 N San Mateo Dr, Suite 3,
San Mateo, CA 94401-2585

Ph: (650) 340-0243

Reviews and Comments


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