Sean Charles Mansfield

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Practice address

1109 Sir Francis Drake Blvd
Kentfield, CA 94904-1418

Phone

(415) 256-9995

NPI assigned

Apr 30, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Buckelew Programs

  • Mental Illness Community Based Residential Treatment Facility
  • Kentfield, CA
  • NPI 1861823262
  NPD (past)
• Buckelew Programs

  • Mental Illness Community Based Residential Treatment Facility
  • San Rafael, CA
  • NPI 1922334622
  NPD (past)

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

{
    "created_epoch": "1430352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1326425190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 ALAMEDA DEL PRADO STE 103",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949496698",
            "telephone_number": "415-457-6964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 SIR FRANCIS DRAKE BLVD",
            "city": "KENTFIELD",
            "state": "CA",
            "postal_code": "949041418",
            "telephone_number": "415-256-9995"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Alameda Del Prado Ste 103",
            "address_purpose": "LOCATION",
            "city": "Novato",
            "state": "CA",
            "postal_code": "949496698",
            "country_code": "US",
            "telephone_number": "415-457-6964",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2709 Pillsbury Rd",
            "address_purpose": "LOCATION",
            "city": "Chico",
            "state": "CA",
            "postal_code": "959730943",
            "country_code": "US",
            "telephone_number": "530-513-4007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANSFIELD",
        "first_name": "SEAN",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-30",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Liu, M.D., M.S.
• Ashleigh Danielle Lopez
• Katherine Chastain Lorber, M.D.
• Jason M Lund, PHARM.D.
• Eleanor Lusignan, LMFT
• Jeanette Rhoads Margolin, M.D.
• Marin Sport and Spine Physical Therapy
• Francis C Marino, RRT, RCP
• Carole J Marks, PH.D.
• Stephanie Jillaine Marti, PSYD

• Rehabilitation Practitioner in Kentfield, CA
• Providers in Kentfield, CA by specialty
• Rehabilitation Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; 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.