Dr. Mark Douglas Breithaupt is a San Jose, California based psychologist who is specialized in General Psychology. Active license number of Dr. Mark Douglas Breithaupt is PSY 499 for Clinical Psychology in Hawaii. His current practice location is 1100 Lincoln Ave Ste 394, San Jose. Patients can reach him at 408-320-2747 or can fax him at 408-320-2747. Dr. Mark Douglas Breithaupt is PH.D. in General Psychology and his NPI number (Unique professional ID assigned by NPPES) is 1053436337. Dr. Mark Douglas Breithaupt is specialized in psychological testing and evaluating or assessing patient's personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning. Accordingly, he performs counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy. He can diagnose and treat mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability by psycheducational evaluation, therapy, remediation, and consultation.
Complete Profile:
Dr. Mark Douglas Breithaupt speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Dr. Mark Douglas Breithaupt
Specialization:
General Psychology
Gender:
Male
Credentials:
PH.D.
Practice Address:
1100 Lincoln Ave Ste 394, San Jose, California, 95125
Phone:
408-320-2747
Fax:
408-320-2747
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1053436337
NPI Enumeration Date:
19 Mar, 2007
NPI Last Update On:
09 Sep, 2019
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Mark Douglas Breithaupt are as mentioned below.
License Number
Specialization
State
Status
PSY 499
Clinical Psychology
Hawaii
Primary
PSY 499
General Psychology
Hawaii
Secondary
Addiction (Substance Use Disorder) Psychology
Secondary
PSY 499
Marriage & Family Therapist
Hawaii
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Mark Douglas Breithaupt such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
A 3812-3
Other
Hawaii
HMSA
03451701
Medicaid
Hawaii
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Dr. Mark Douglas Breithaupt Po Box 8396, San Jose, California
Zip:
95155-8396
Phone Number:
408-320-2747
Fax Number:
408-320-2747
Patients can reach Dr. Mark Douglas Breithaupt at 1100 Lincoln Ave Ste 394, San Jose, California or can call to book an appointment on 408-320-2747.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.