MARK NICHOLAS ROBERTSON


Address: 1947 N California St, Suite C, Stockton, CA 95204
Phone: 2094630870

MARK NICHOLAS ROBERTSON (NPI# 1144336660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144336660
Entity Type Individual
Full Name MARK NICHOLAS ROBERTSON
Practice Address 1947 N California St
Suite C
Stockton
CA 95204
Mailing Address 6465 N West Ln
Apt 220
Stockton
CA 95210
Practice Telephone 2094630870
Practice Fax Number 2094630560
Mailing Telephone 2094729323
Mailing Fax Number 2094630560
Enumeration Date 2006-08-21
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers

Other Providers MARK ROBERTSON

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1619324498 Mark Robertson Massage Therapist 8329 76th Ave Ne, Marysville, WA 98270-7602 2016-05-20
1962774521 Mark B Robertson Pharmacist 3699 Hiway 95, Ste 100, Bullhead City, AZ 86442-9118 2012-01-29
1134294937 Mark Douglas Robertson Optometrist 2701 David Mcleod Blvd., Florence, SC 29501 2006-11-21
1487679700 Mark Stephen Robertson Otolaryngology 950 29th Ave Sw, Albany, OR 97321-3415 2006-07-13
1962457697 Mark Alan Robertson Otolaryngology 205 Se Howard Ave, Bartlesville, OK 74006-2204 2006-05-23
1235448150 Mark Alan Robertson Dentist 25 W Water St, Harrisonburg, VA 22801-3624 2010-09-27
1326278003 Mark Robertson Physical Therapist 2021 Vanesta Pl, Suite C, Manhattan, KS 66503-0380 2009-07-16
1821129495 Mark Eric Robertson Physical Therapist 600 W 21st Street, Red Lodge, MT 59068 2007-03-08
1720142466 Mark Davis Robertson Optometrist 503900 Mooty 13 Fishermen Beachroad, Garapan, Saipan, MP 96950-3900 2006-12-20
1063584316 Mark A Robertson Pharmacist 42 Lambert St Ste 311, Staunton, VA 24401-2421 2006-11-14

Office Location

Street Address 1947 N CALIFORNIA ST
SUITE C
City STOCKTON
State CA
Zip Code 95204

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326080862 Matrix Rehabilitation, Inc. Clinic/Center 1947 N California St, Suite B, Stockton, CA 95204-6029 2006-06-11
1093345183 Kurtis Woody Licensed Vocational Nurse 1947 N California St, Stockton, CA 95204-6029 2020-01-17
1588211502 Roberta Jean Lewis-goldfine Licensed Vocational Nurse 1947 N California St, Stockton, CA 95204-6029 2019-08-23
1568945822 Pa Gnia Yang Counselor 1947 N California St, Stockton, CA 95204-6029 2018-09-12
1639669070 Sioban Regina Mersaroli Counselor 1947 N California St, Stockton, CA 95204-6029 2018-05-11
1720580970 Rana Amjadi Khan Counselor 1947 N California St, Stockton, CA 95204-6029 2018-03-05
1548793656 Marc Heslop Counselor 1947 N California St, Stockton, CA 95204-6029 2017-04-05
1376908814 Stephen Bradley Machado II Counselor 1947 N California St, Suite B, Stockton, CA 95204-6029 2015-12-29
1295117174 Steven Ryan Case Manager/Care Coordinator 1947 N California St, B, Stockton, CA 95204-6029 2015-06-26
1083007033 Josepph Daniel Isquierdo Counselor 1947 N California St, Suite B, Stockton, CA 95204-6029 2015-03-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962027524 Kariem Abdelwahed Licensed Vocational Nurse 1630 N. Edison St Stockton Ca, Stockton, CA 95204 2020-06-10
1831730555 Ronnie C Murray Counselor 1947 North California Street, Stockton, CA 95204 2019-10-03
1235614116 Michelle Ann Horn Marriage & Family Therapist 3666 Mission Rd, Stockton, CA 95204 2018-09-26
1356830947 Stockton Pace PACE Provider Organization 582 E. Harding Way, Stockton, CA 95204 2018-05-09
1790228781 Rebecca Phongsa Counselor 1947 North Calfornia Street, Suite B, Stockton, CA 95204 2016-11-23
1700332905 Serim Kang Driver 4222 N Pershing Ave, Suite D2, Stockton, CA 95204 2016-08-28
1033565544 Philip John Brereton Orthotist 466 E Harding Way, Stockton, CA 95204 2016-05-13
1932507522 David Grayson Counselor 1621 Brookside Rd, Stockton, CA 95204 2014-12-12
1174934897 Gurtej Malhi Internal Medicine 1901 N California Street, Stockton, CA 95204 2014-05-15
1396156170 Rajesh Saini Nurse Practitioner 1805 N California St. Suite 102, Stockton, CA 95204 2014-05-14
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740893155 Tracey Black Counselor 130 W Flora St, Stockton, CA 95202-1636 2020-08-25
1699305508 Juan Robles Counselor 1947 N California St # 95204, Stockton, CA 95204-6029 2020-01-20
1831730555 Ronnie C Murray Counselor 1947 North California Street, Stockton, CA 95204 2019-10-03
1821648353 Kaye Lynn Scott-roy Counselor 285 H Rd, Stockton, KS 67669-8889 2019-09-17
1760049043 Jay Frank Williams Counselor 1105 N El Dorado St, Stockton, CA 95202-1305 2019-05-22
1184105462 Rachelle Diane Wilson Counselor 2733 N Sutter St, Stockton, CA 95204-4548 2018-08-24
1568943835 Heather Lynn Rogers Counselor 3990 Black Butte Cir, Stockton, CA 95209-3500 2018-08-24
1235631722 Parker Yang Counselor 1111 N. El Dorado St, Stockton, CA 95202 2018-03-01
1487162087 Linda Soun Counselor 1111 N. El Dorado Street, Stockton, CA 95202 2018-01-17
1760995781 Dana Lamont Harris Counselor 2833 Buckner Ct, Stockton, CA 95207-2302 2017-11-13
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Competitor

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City STOCKTON
Zip Code 95204

Improve Information

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Dataset Information

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.

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