Christine Tijen Sumbul

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

112218 Issued in CA

Practice address

1702 Fairview St
Berkeley, CA 94703-2429

Phone

(415) 505-3634

NPI assigned

Oct 21, 2021

Sex

Female

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

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

{
    "created_epoch": "1634774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782604800000",
    "number": "1497418859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 S SPRUCE AVE STE 200",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940804557",
            "telephone_number": "415-681-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 FAIRVIEW ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947032429",
            "telephone_number": "415-505-3634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMBUL",
        "first_name": "CHRISTINE",
        "middle_name": "TIJEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-21",
        "last_updated": "2026-06-28",
        "certification_date": "2026-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "112218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Allen Suiter, PSY.D.
• Carrie Marie Sullivan, MSOTR/L
• Gabriel Joseph Sullivan
• Joan Grant Sullivan, MD
• Stephanie M. Sullivan, MSN, NP
• Kayo Sumisaki, M.A., MFT
• Jane Summer
• Alice Y Sun, N.P
• Zhipei Sun
• Judi Sundaram, NP

• Clinical Social Worker in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2026; 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.