DOUGLAS GOSTLIN (NPI# 1174080139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174080139 |
| Entity Type | Individual |
| Full Name | DOUGLAS GOSTLIN |
| Practice Address |
376 Colusa Ave Kensington CA 94707-1213 |
| Practice Telephone | 5108166258 |
| Mailing Telephone | 5108166258 |
| Enumeration Date | 2019-02-26 |
| Last Update Date | 2019-02-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
40579 | CA | Behavioral Health & Social Service Providers |
| Street Address |
376 COLUSA AVE |
| City | KENSINGTON |
| State | CA |
| Zip Code | 94707-1213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912059973 | Miriam Marsolais | Psychologist | 376 Colusa Ave, Kensington, CA 94707-1213 | 2007-01-18 |
| 1518219724 | Mathilde Weems | Psychiatry & Neurology | 376 Colusa Ave, Kensington, CA 94707-1213 | 2012-10-11 |
| 1649567538 | Wendy Stock | Psychologist | 376 Colusa Ave, Kensington, CA 94707-1213 | 2011-06-30 |
| 1477870582 | Francine Segal | Psychologist | 376 Colusa Ave, Kensington, CA 94707-1213 | 2010-04-28 |
| 1972717064 | David Lindsay Smith | Marriage & Family Therapist | 376 Colusa Ave, Suite 2, Kensington, CA 94707 | 2007-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306389556 | Tuyet-lyn Christensen | Marriage & Family Therapist | 925 The Alameda, Suite 23, Berkeley, CA 94707 | 2016-11-21 |
| 1457807208 | William L Carpenter | Registered Nurse | 875 Arlington Ave, Berkeley, CA 94707 | 2016-08-31 |
| 1992136451 | Zeph Locke | Marriage & Family Therapist | 1760 Solano Ave 300, Berkeley, CA 94707 | 2013-12-10 |
| 1295033553 | Emily Zubritsky | Counselor | 725 Spruce St., Berkeley, CA 94707 | 2011-03-09 |
| 1093025728 | Hajera Rostam | Psychologist | 970 Tulare Avenue, Berkeley, CA 94707 | 2010-10-15 |
| 1457689382 | Rand Steven Pallock | Marriage & Family Therapist | 1635 Soland Ave, Berkeley, CA 94707 | 2009-12-04 |
| 1598936957 | Doreen Ruth Downing | Psychologist | 1700 Solano Ave. Suite F, Berkeley, CA 94707 | 2008-03-13 |
| 1861688285 | Thomas James Hendrickson | Chiropractor | 388 Colusa Circle, Kensington, CA 94707 | 2007-09-19 |
| 1184827362 | Barbara Louise Mercer | Psychologist | 376 Colusa Avenue, Suite 1, Kensington, CA 94707 | 2007-06-06 |
| 1679780480 | Judithann H. David | Psychologist | 919 The Alameda Ste 5, 919 The Alameda Ste 5, Berkeley, CA 94707 | 2007-05-17 |
| Find all providers in zip 94707 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073129490 | Paige Prestipino | Counselor | 9901 Cable Dr, Kensington, MD 20895-3647 | 2020-09-21 |
| 1518518588 | Betty Jean Deberry-sumner | Counselor | 10410 Kensington Pkwy Ste 203, Kensington, MD 20895-2947 | 2019-09-21 |
| 1063077659 | Robin Brannan Lcmft LLC | Counselor | 3720 Farragut Ave Ste 301, Kensington, MD 20895-2110 | 2019-05-08 |
| 1689154981 | Ryan Rehabilitation LLC | Counselor | 3821 Farragut Ave, Kensington, MD 20895 | 2018-08-16 |
| 1770083974 | Susan W Fletcher | Counselor | 10410 Kensington Pkwy Ste 12, Kensington, MD 20895-2943 | 2018-02-15 |
| 1245682731 | Julia Overway | Counselor | 238 Lake Dr, Kensington, CA 94708-1132 | 2016-07-07 |
| 1003113739 | Dianne Woods | Counselor | 10400 Connecticut Ave Ste 202, Kensington, MD 20895-3941 | 2011-02-15 |
| 1437398559 | Fts Group, LLC | Counselor | 3404 University Blvd, Kensington, MD 20895 | 2009-02-12 |
| 1962533539 | Diana Lynn Sabados | Counselor | 10605 Concord St Ste 100, Kensington, MD 20895 | 2007-03-08 |
| 1386266948 | Ricardo Andrews | Counselor | 3930 Knowles Ave Ste 200, Kensington, MD 20895-2428 | 2020-05-17 |
| Find all providers in KENSINGTON | ||||
| City | KENSINGTON |
| Zip Code | 94707 |
Please comment or provide details below to improve the information on DOUGLAS GOSTLIN.
| 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.