IndividualActive
Jerry Dattilo, BA
NPI 1669997854 · Mental Health Counselor · San Mateo, CA
Jerry Dattilo, BA is a Mental Health Counselor provider in San Mateo, CA (NPI 1669997854).
Provider details
- NPI number
- 1669997854
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- BA
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2600 S El Camino Real Ste 200
San Mateo, CA 94403-2382
Phone: (650) 513-6122
Fax: (650) 513-6122
Street-level locationGet directions
Mailing address
2600 S El Camino Real Ste 200
San Mateo, CA 94403-2382
Registry dates
- Enumerated
- 2017-08-08
- Last updated
- 2017-08-08
Frequently asked questions
- What is Jerry Dattilo's NPI number?
- Jerry Dattilo's National Provider Identifier (NPI) is 1669997854, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jerry Dattilo's specialty?
- Jerry Dattilo is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Jerry Dattilo located?
- Jerry Dattilo's practice location on file with NPPES is 2600 S El Camino Real Ste 200, San Mateo, CA 94403-2382.
- What is Jerry Dattilo's phone number?
- The practice phone number listed in the NPPES registry for Jerry Dattilo is (650) 513-6122.
- Is Jerry Dattilo's NPI active?
- Yes — Jerry Dattilo's NPI (1669997854) is active in the NPPES registry as of the last update on 2017-08-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.