Eric Stullman LMFT

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

78428 Issued in CA

Legal business name

ERIC STULLMAN LMFT

Practice address

2428 Dwight Way
Berkeley, CA 94704-3506

Phone

(415) 710-8764

NPI assigned

Jul 16, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Eric Mitchell Stullman, LMFT

Title

Licenced Marriage Family Therapist

Phone

(415) 710-8764

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1405468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405468800000",
    "number": "1154738615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 TOMPKINS AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946192822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2428 DWIGHT WAY",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947043506",
            "telephone_number": "415-710-8764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC STULLMAN LMFT",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-16",
        "last_updated": "2014-07-16",
        "status": "A",
        "authorized_official_last_name": "STULLMAN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "MITCHELL",
        "authorized_official_title_or_position": "LICENCED MARRIAGE FAMILY THERAPIST",
        "authorized_official_telephone_number": "415-710-8764",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "78428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Epstein, LMFT
• Rebecca Epstein, D.M.H
• Robert Alan Epstein, M.D.
• Eileen Erdmann, RN
• Xavier Alejandro Erguera
• Catherine Erickson
• Yesim Erim Goktekin, RD
• Erin Chapman Ibclc
• Matthew Erlendson
• Melanie Renee Errett

• Preferred Provider Organization in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Preferred Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.