Mark D Breithaupt Phd Inc
LBN: Mark D Breithaupt Phd Inc
Mark D Breithaupt Phd Inc is an health care organization with primary practice located at 1100 Lincoln Ave Ste 394 , San Jose CA 95125. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty.
Mark D Breithaupt Phd Inc can be contacted via phone (408) 320-2747, or through Breithaupt, Mark Douglas via phone (408) 320-2747.
Contact Information
Primary practice address
1100 Lincoln Ave Ste 394
San Jose CA 95125
Phone: (408) 320-2747
Fax: (408) 320-2747
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSY499 | Hawaii |
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 103TA0400X | PSY499 | Hawaii |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY499 | Hawaii |
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | PSY499 | Hawaii |
Profile Details
NPI number | 1902115082 |
---|---|
LBN Legal business name | Mark D Breithaupt Phd Inc |
DBA Doing business as | |
Authorized official | Breithaupt, Mark Douglas PHD |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Oct 6th, 2010 |
Last updated | Sep 9th, 2019 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1902115082 | NPPES |
Hawaii | Other | HMSA | HMSA |
Hawaii | MEDICAID | 03451701 | HMSA |
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