David Charles Beck, M.D.
Individual provider Active NPI Child & Adolescent Psychiatry Physician · Sebastopol, CA
NPI 1871653634 · NPPES record last updated Sep 25, 2007
Key facts
- NPI
- 1871653634
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Child & Adolescent Psychiatry Physician 2084P0804X
- License
- G040950 (CA)
- Practice address
- 9707 Ross Station Rd
Sebastopol, CA 95472-2136 - Phone
- (707) 887-2315
- Fax
- (707) 887-2315
- NPI assigned
- Dec 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G040950 | CA | MD | Child & Adolescent Psychiatry Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | G040950 | CA | Yes |
Addresses
Primary practice location
9707 Ross Station Rd
Sebastopol, CA 95472-2136
Mailing address
9707 Ross Station Rd
Sebastopol, CA 95472-2136
Phone (707) 887-2315
Other providers in Sebastopol, CA
- Vija A Bauer-Lindbergs
- Frank R Bavuso
- Bay Area Center for Psychotherapy
- Jan S Beaulyn
- Sydney Annette Bebb-Walker
- Dana Becker
- Hope Anita Becklund
- Chris Bekins
- Theresa Beldon
- Simon Bell
All providers in Sebastopol, CA · Child & Adolescent Psychiatry Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 25, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.