Active NPI
Herb L. Dungeon Sr.
- Mental Health Counselor
- San Pablo, CA
National Provider Identifier
1619019635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 2523 El Portal Dr.
San Pablo, CA 94806 - Phone
- (510) 374-7500
- Fax
- (510) 374-7504
- NPI assigned
- Feb 13, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
2523 El Portal Dr.
San Pablo, CA 94806
Mailing address
2601 Hilltop Dr.
Richmond, CA 94806
Phone (510) 374-7500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D3036060 | Other | CA | DR. LIC. |
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": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619019635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2601 HILLTOP DR.",
"city": "RICHMOND",
"state": "CA",
"postal_code": "94806",
"telephone_number": "510-374-7500",
"fax_number": "510-374-7504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2523 EL PORTAL DR.",
"city": "SAN PABLO",
"state": "CA",
"postal_code": "94806",
"telephone_number": "510-374-7500",
"fax_number": "510-374-7504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNGEON SR.",
"first_name": "HERB",
"middle_name": "L.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DR. LIC.",
"identifier": "D3036060",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Pablo, CA
- Dr Marvi V Rijhwani
- Sharon Beth Drager, M.D.
- Angela Drake
- Catherine Navelga Dris, PTA
- Maya Deshe Drori, MFT
- Dva Healthcare Renal Care Inc (San Pablo Dialysis)
- Olga Franklin Eaglin
- East Bay Cardiology Medical Group
- East Bay Nephrology Medical Group, Inc.
- East Bay Pulmonary Medical Group Professional Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.