# TBT PSYCHIATRY, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861299554
- **Authorized official:** DR. THEODORE GERMANOS MD (PRESIDENT)
- **Authorized official phone:** (858) 365-8564

## Contact information

- **Practice address:** 462 STEVENS AVE STE 206, SOLANA BEACH, CA 92075-2065
- **Practice address phone:** (858) 617-0004
- **Mailing address:** 462 STEVENS AVE STE 310, SOLANA BEACH, CA 92075-2066
- **Mailing address phone:** (858) 617-0004

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | NULL | Yes |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/28/2025
- **Last updated:** 02/28/2025
