Mark D Breithaupt Phd Inc is a Psychology Clinic in San Jose, California. It is located at 1100 Lincoln Ave Ste 394, San Jose, CA and its contact number is 408-320-2747. The authorized person for Mark D Breithaupt Phd Inc is Mark Douglas Breithaupt
who is Licensed Clinical Psychologist of the clinic and his/her contact number is 408-320-2747. The primary license number for Mark D Breithaupt Phd Inc is PSY499 (Clinical) in Hawaii. Mark D Breithaupt Phd Inc Clinic specialize in psychological testing and evaluating or assessing patient's personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning. Accordingly, psychologists performs counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy. Psychologists 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 Clinic Profile:
Mark D Breithaupt Phd Inc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Mark D Breithaupt Phd Inc
Specialization:
General Psychology
Clinic Address:
1100 Lincoln Ave Ste 394, San Jose, California, 95125
Phone:
408-320-2747
Fax:
408-320-2747
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Mark Douglas Breithaupt
Position:
Licensed Clinical Psychologist
Contact Number:
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 for Mark D Breithaupt Phd Inc clinic are as mentioned below.
NPI Number:
1902115082
NPI Enumeration Date:
06 Oct, 2010
NPI Last Update On:
09 Sep, 2019
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mark D Breithaupt Phd Inc are as mentioned below.
Specialization
License Number
State
Status
Clinical
PSY499
Hawaii
Primary
Psychologist
PSY499
Hawaii
Secondary
Addiction (Substance Use Disorder)
PSY499
Hawaii
Secondary
Marriage & Family Therapist
PSY499
Hawaii
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
HMSA
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:
Mark D Breithaupt Phd Inc Po Box 8396, San Jose, California
Zip:
95155-8396
Phone Number:
408-320-2747
Fax Number:
408-320-2747
Patients can reach Mark D Breithaupt Phd Inc at 1100 Lincoln Ave Ste 394, San Jose, California or can call to book an appointment on 408-320-2747. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.