Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Marisa S Taddeo, MD

Individual provider Psychiatry Physician · NPI 1760019921

Dr. Marisa S Taddeo, MD is a Psychiatry in San Antonio, Texas. Qualified in 2020, 6 years ago. Licensed in Texas.

Years since qualifying
6
Licensed in
TX
In the registry since
2020
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5788 Eckhert Rd
San Antonio, TX 78240-3900
Phone: (210) 450-6450
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence V3444 (TX)
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X · Licence V3444 (TX)

Record details

NPI number1760019921
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 26, 2020
Last updated in NPPESApril 28, 2026
Certification dateApril 28, 2026
Mailing address5788 Eckhert Rd, San Antonio, TX 78240-3900

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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