BRETT DAHLBERG NPI 1477069755

NPI Information

NPI: 1477069755
Provider Name: BRETT DAHLBERG
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
1400 EMELINE AVE
SANTA CRUZ, CA
ZIP 95060
Phone: (831) 454-4170
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Brett Dahlberg is a mental health counselor in Santa Cruz, CA. Brett Dahlberg NPI is 1477069755. 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:

1400 EMELINE AVE
SANTA CRUZ, CA
ZIP 95060-976
Phone: (831) 454-4170

The enumeration date for this NPI number is 12/21/2017 and was last updated on 12/21/2017.

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	101YM0800X	Counselor	Mental Health		CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	ZZZ92069Z	OTHER	CALIFORNIA	SANTA CRUZ COUNTY GROUP PTAN#
2	ZZZ91891Z	OTHER	CALIFORNIA	SANTA CRUZ COUNTY MEDICARE GROUP PTAN#
3	FHC70042F	OTHER	CALIFORNIA	SANTA CRUZ COUNTY MEDI-CAL GROUP PTAN#

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: 4/28/2024

NPI Synchronization or Removal

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