DR. MIKHAIL GUTKIN PHD NPI 1679601041

NPI Information

NPI: 1679601041
Provider Name: DR. MIKHAIL GUTKIN, PHD
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
1761 BROADWAY ST
VALLEJO, CA
ZIP 94589
Phone: (707) 645-2700
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DR. Mikhail Gutkin, PHD is a mental health counselor in Vallejo, CA. DR. Mikhail Gutkin, PHD NPI is 1679601041. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1761 BROADWAY ST
VALLEJO, CA
ZIP 94589-226
Phone: (707) 645-2700

The enumeration date for this NPI number is 2/28/2007 and was last updated on 1/11/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TC0700X	Psychologist	Clinical	PSY24794	CALIFORNIA	No
2	103TC2200X	Psychologist	Clinical Child & Adolescent	PSY24794	CALIFORNIA	No
3	101YM0800X	Counselor	Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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