MARK SULLIVAN PH.D. MFT NPI 1518275437

NPI Information

NPI: 1518275437
Provider Name: MARK SULLIVAN, PH.D., MFT
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
5237 COLLEGE AVE
OAKLAND, CA
ZIP 94618
Phone: (510) 541-0548
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Mark Sullivan, PH.D., MFT is a professional counselor in Oakland, CA. Mark Sullivan, PH.D., MFT NPI is 1518275437. 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:

5237 COLLEGE AVE
OAKLAND, CA
ZIP 94618-414
Phone: (510) 541-0548
Fax: (510) 841-3395

The enumeration date for this NPI number is 9/14/2010 and was last updated on 9/14/2010.

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	101YP2500X	Counselor	Professional	MFC15675	CALIFORNIA	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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