Individual provider Active NPI

Mark Jordan Stelzner

  • Marriage & Family Therapist
  • Oakland, CA
National Provider Identifier
1538680376
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
13690 Issued in CA
Practice address
2710 Telegraph Ave Ste 210
Oakland, CA 94612-1771
Phone
(415) 203-7352
NPI assigned
Jul 1, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 13690 CA Primary

Addresses

Primary practice location

2710 Telegraph Ave Ste 210
Oakland, CA 94612-1771

Mailing address

2710 Telegraph Ave Ste 210
Oakland, CA 94612-1771
Phone (415) 203-7352

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1498867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1538680376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 TELEGRAPH AVE STE 210",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946121771",
            "telephone_number": "415-203-7352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 TELEGRAPH AVE STE 210",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946121771",
            "telephone_number": "415-203-7352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STELZNER",
        "first_name": "MARK",
        "middle_name": "JORDAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-01",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "13690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; 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.