Active NPI
Sean Faulkner
- Marriage & Family Therapist
- Berkeley, CA
National Provider Identifier
1730500232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 105355
- Practice address
- 2105 Martin Luther King Jr Way FL 1
Berkeley, CA 94704-1108 - Phone
- (415) 294-0317
- NPI assigned
- Dec 31, 2013
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 105355 | CA | Primary |
Addresses
Primary practice location
2105 Martin Luther King Jr Way FL 1
Berkeley, CA 94704-1108
Mailing address
PO Box 2342
Daly City, CA 94017-2342
Phone (415) 294-0317
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
5060 Shoreham PL
Suite 330
San Diego, CA 92122-5976
Phone (858) 427-5060
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105355 | CA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sokyahealth Medical Group PC | Marriage & Family Therapist | Current | Accepting new patients |
Locations
2386 Faraday Ave
Ste 110
Carlsbad, CA 92008
Phone (858) 427-5060
5060 Shoreham Pl
Ste 330
San Diego, CA 92122
Phone (619) 866-0998
Interoperability endpoints
- sean.faulkner.p1@direct.sokya.nextgenshare.com
Organizations & group practices 1
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.
-
- Mental Health Counselor
- San Diego, CA
- NPI 1942970330
Marriage & Family Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745020800000",
"number": "1730500232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2342",
"city": "DALY CITY",
"state": "CA",
"postal_code": "940172342",
"telephone_number": "415-294-0317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2105 MARTIN LUTHER KING JR WAY FL 1",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947041108",
"telephone_number": "415-294-0317"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAULKNER",
"first_name": "SEAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-12-31",
"last_updated": "2025-04-19",
"certification_date": "2025-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "105355",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.