Mark and Barbara Sullivan Psychotherapy Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LCSW 3295 Issued in CA

Legal business name

MARK AND BARBARA SULLIVAN PSYCHOTHERAPY INC

Practice address

2635 Russell St
Berkeley, CA 94705-2131

Phone

(510) 540-0548

NPI assigned

Aug 7, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Barbara Stevens Sullivan, M.S.W.

Title

Vice-President

Phone

(510) 258-3068

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1375833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375833600000",
    "number": "1508298035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2635 RUSSELL ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052131",
            "telephone_number": "510-540-0548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2635 RUSSELL ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052131",
            "telephone_number": "510-540-0548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK AND BARBARA SULLIVAN PSYCHOTHERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-07",
        "last_updated": "2013-08-07",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "STEVENS",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "510-258-3068",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S.W."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "LCSW 3295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Marino, MD
• Ewa Maris
• Thira Maris, PHARMD
• Marjan Rusta DDS Inc
• Mark a Fujikawa & Stephen R Chun PTR
• Melissa A. Mark, CRNP
• Jennine Marie Markiewicz, LMFT
• Henry Markman, M.D.
• Jess Maron
• Kirsten Marony

• Community/Behavioral Health Agency in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; 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.