Active NPI
Mary Frances Kulla, M.D.
- Psychiatry Physician
- Livermore, CA
National Provider Identifier
1851565402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- G65806
- Practice address
- 60 Fenton St
Suite 5
Livermore, CA 94550-4148 - Phone
- (925) 321-0995
- Fax
- (866) 788-1124
- NPI assigned
- Apr 15, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | G65806 | CA | Primary |
| Child & Adolescent Psychiatry Physician | 2084P0804X | G65806 | CA |
Addresses
Primary practice location
60 Fenton St
Suite 5
Livermore, CA 94550-4148
Mailing address
PO Box 2042
Livermore, CA 94551-2042
Phone (925) 321-0995
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G65806 | CA | MD | Child & Adolescent Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208217600000",
"number": "1851565402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2042",
"city": "LIVERMORE",
"state": "CA",
"postal_code": "945512042",
"telephone_number": "925-321-0995",
"fax_number": "866-788-1124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 FENTON ST",
"address_2": "SUITE 5",
"city": "LIVERMORE",
"state": "CA",
"postal_code": "945504148",
"telephone_number": "925-321-0995",
"fax_number": "866-788-1124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KULLA",
"first_name": "MARY",
"middle_name": "FRANCES",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-15",
"last_updated": "2008-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "G65806",
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "CA",
"license": "G65806",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Livermore, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.