Organization · Type 2 NPI

Crestline Medical Group PC

Psychiatry Physician · San Jose, CA

NPI number 1861348351 Active

Practice location

325 S 1st St Ste 200
San Jose, CA 95113-2835

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor	101YM0800X	None listed
Psychologist	103T00000X	None listed
Counseling Psychologist	103TC1900X	None listed
Internal Medicine Physician	207R00000X	None listed
Psychiatry Physician Primary	2084P0800X	None listed

Psychiatry Physician: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic la…

3 other providers at this address

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About NPI 1861348351

Crestline Medical Group PC's National Provider Identifier is 1861348351, issued on Mar 6, 2026. The primary taxonomy on file is Psychiatry Physician (2084P0800X), and the practice location is in San Jose, CA. The record was last updated on Jun 16, 2026.