MR. MARK DANIEL BLACKHURST (NPI# 1760770192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760770192 |
| Entity Type | Individual |
| Full Name | MR. MARK DANIEL BLACKHURST |
| Credential | MA |
| Practice Address |
439 Lombard St San Francisco CA 94133-2416 |
| Mailing Address |
439 Lombard St. San Francisco CA 94133-2416 |
| Practice Telephone | 4085135718 |
| Mailing Telephone | 4085135718 |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2011-07-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TF0200X |
Psychologist Specialization: Forensic |
Behavioral Health & Social Service Providers |
| Street Address |
439 LOMBARD ST |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94133-2416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073176558 | Stephanie Quach | Pharmacist | 845 Jackson Street (pharmacy), San Francisco, CA 94133 | 2019-04-19 |
| 1235474610 | Discover Health Medical Partners Inc | Naturopath | 990 Columbus Avenue, San Francisco, CA 94133 | 2012-12-11 |
| 1891092490 | Qiang Zhu | Acupuncturist | 367 Bay Street, San Francisco, CA 94133 | 2011-02-16 |
| 1619284676 | Kathy Mei | Nurse Practitioner | 835 Jackson St Mob, #329, San Francisco, CA 94133 | 2010-09-10 |
| 1346467040 | Rebecca Helen Wakefield | Physical Therapist | 2140 Taylor St, Apt 905, San Francisco, CA 94133 | 2007-04-20 |
| 1598897191 | Ross William Graham | Chiropractor | 802 Montgomery St, San Francisco, CA 94133 | 2007-03-09 |
| 1265573620 | Julie K. Tse | Nurse Practitioner | 1490 Mason Street, Chinatown Public Health Center, San Francisco, CA 94133 | 2007-02-09 |
| 1285786301 | Cornelia Byrne Hoppe | Marriage & Family Therapist | 1632 Taylor St #6, San Francisco, CA 94133 | 2007-01-17 |
| 1205904281 | Shantala Umashankar | Psychiatry & Neurology | 939 Jackson Street, Apartment 201, San Francisco, CA 94133 | 2006-11-30 |
| 1467521070 | Josephine Mak | Family Medicine | 818 Jackson Street, Suite 301, San Francisco, CA 94133 | 2006-11-07 |
| Find all providers in zip 94133 | ||||
| Taxonomy Code | 103TF0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Forensic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790123818 | Casey Boehm Newland | Psychologist | 350 Brannan St Ste 200, San Francisco, CA 94107 | 2013-06-11 |
| 1942455399 | Jonathan Edward French | Psychologist | 1500 20th St, San Francisco, CA 94107-2809 | 2008-11-27 |
| 1700437217 | Mary Ann Yaeil Kim | Psychologist | 465 California St Ste 630, San Francisco, CA 94104-1845 | 2019-09-25 |
| 1851596498 | Stephanie Denise Wilson | Psychologist | 2340 Clay St Fl 7, San Francisco, CA 94115-1932 | 2007-06-15 |
| 1760691349 | Roy L. Curry, A Professional Corporation | Psychologist | 1 Daniel Burnham Ct Ste 365-c, San Francisco, CA 94109-5490 | 2007-05-21 |
| 1518076272 | Roy L Curry | Psychologist | 1 Daniel Burnham Ct, Suite 365c, San Francisco, CA 94109-5455 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962049130 | Ashley Cohen | Psychologist | 320 Linda Dr, Hollister, CA 95023-6646 | 2019-12-05 |
| 1174185540 | Daisy Covarrubias | Psychologist | 9727 Diana Ave, Riverside, CA 92503-4281 | 2019-07-05 |
| 1538620786 | San Diego Forensic Psychology Corporation | Psychologist | 4640 Cass Street, # 90422, San Diego, CA 92109 | 2019-03-29 |
| 1982169587 | Jocelyn Roland | Psychologist | 2937 Veneman Ave Ste B125, Modesto, CA 95356-0690 | 2019-02-07 |
| 1265997936 | Shanda Angioli | Psychologist | 4640 Cass St # 90422, San Diego, CA 92109-2804 | 2019-02-06 |
| 1841755626 | Brianna Marie Alcantar | Psychologist | 855 E Laurel Dr Bldg H, Salinas, CA 93905-1300 | 2019-02-05 |
| 1316423692 | Millie Georganna Herrera | Psychologist | 4001 State Higheay 104, Ione, CA 95640 | 2018-07-19 |
| 1003308446 | Kiara Dixon | Psychologist | 15501 San Pablo Ave # G-317, Richmond, CA 94806-5848 | 2018-06-01 |
| 1700322633 | Lindsay Heber | Psychologist | 28204 Picadilly Pl, Castaic, CA 91384-3830 | 2017-01-17 |
| 1295193738 | Schuyler Weifu Liao | Psychologist | 2576 W San Ramon Ave, Fresno, CA 93711-2749 | 2016-01-28 |
| Find all providers with the same taxonomy | ||||
| City | SAN FRANCISCO |
| Zip Code | 94133 |
Please comment or provide details below to improve the information on MR. MARK DANIEL BLACKHURST.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.