Lance Middleton M.D., PH.D., P.C.

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

LANCE MIDDLETON M.D., PH.D., P.C.

Practice address

3030 Bridgeway Ste 212
Sausalito, CA 94965-2898

Phone

(707) 504-9982

NPI assigned

Mar 6, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Lance Middleton, M.D.

Title

President

Phone

(225) 335-4986

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678060800000",
    "number": "1821798315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 LESLIE CT",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949472921",
            "telephone_number": "225-335-4986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 BRIDGEWAY STE 212",
            "city": "SAUSALITO",
            "state": "CA",
            "postal_code": "949652898",
            "telephone_number": "707-504-9982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANCE MIDDLETON M.D., PH.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-06",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-04",
        "status": "A",
        "authorized_official_last_name": "MIDDLETON",
        "authorized_official_first_name": "LANCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "225-335-4986",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Cabot Klingman, M.S.W.
• KP Tong, DPM, Podiatry Corporation
• Angella Kriens, RD, CEDRD
• Carley Kruger
• Brian Kuennemeier, PSYD
• Sophie Lartilleux-Suberville
• Laurence M Brownstein DDS Inc
• Dennis Bryan Lawton, PHD
• Raymond Layug, DPT
• Richard James Leary, PSYD

• Adult Mental Health Clinic/Center in Sausalito, CA
• Providers in Sausalito, CA by specialty
• Adult Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.