DONNA ELLIOTT MCCULLOCH (NPI# 1174959027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174959027 |
| Entity Type | Individual |
| Full Name | DONNA ELLIOTT MCCULLOCH |
| Credential | LMFT |
| Practice Address |
701 Southampton Rd Ste 204 Benicia CA 94510-2075 |
| Practice Telephone | 7077466620 |
| Mailing Telephone | 7077466620 |
| Enumeration Date | 2013-09-24 |
| Last Update Date | 2013-09-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | MFC 36567 | CA | Behavioral Health & Social Service Providers |
| Street Address |
701 SOUTHAMPTON RD STE 204 |
| City | BENICIA |
| State | CA |
| Zip Code | 94510-2075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578114690 | Stacie Coveleski | Psychologist | 701 Southhampton Road, Suite 102, Benicia, CA 94510 | 2019-09-20 |
| 1962065227 | Susan Samuelsz | Marriage & Family Therapist | 1350 Hayes St. Suite A33, Benicia, CA 94510 | 2019-04-22 |
| 1982150546 | Christine Torres | Health Educator | 777 West H Street, Benicia, CA 94510 | 2016-09-01 |
| 1548654692 | Paul Villamizar | Pharmacist | 900 Cambridge Drive Unit 11, Benicia, CA 94510 | 2015-03-26 |
| 1457768079 | Gail Frizzell | Social Worker | 865 West I Street, Benicia, CA 94510 | 2014-07-15 |
| 1093150740 | Mjq Family Dentistry | Dentist | 125 East N Street, Benicia, CA 94510 | 2013-05-08 |
| 1528328283 | Julie Laura Rose | Acupuncturist | 555 First St., Suite 200, Benicia, CA 94510 | 2012-05-29 |
| 1720379175 | Gary Archie Plaskett | Counselor | 591 Capitol Dr, Benicia, CA 94510 | 2011-04-20 |
| 1104062405 | Dan Gary Wertheimer | Social Worker | 1901 Shoreline Drive, Apt 303, Alameda, CA 94510 | 2008-12-17 |
| 1023266053 | Mark David Levine Md Vallejo Professional Corporation | Psychiatry & Neurology | 1021 First St Ste 5, Benicia, CA 94510 | 2008-09-03 |
| Find all providers in zip 94510 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619583226 | Tanya Georgevitch | Marriage & Family Therapist | 1350 Hayes St Ste B9, Benicia, CA 94510-2933 | 2020-09-18 |
| 1962065227 | Susan Samuelsz | Marriage & Family Therapist | 1350 Hayes St. Suite A33, Benicia, CA 94510 | 2019-04-22 |
| 1831698687 | Caroline Joan Todd | Marriage & Family Therapist | 1060 Grant St Ste 1a, Benicia, CA 94510-2940 | 2018-02-07 |
| 1407387103 | Chelsea Reid | Marriage & Family Therapist | 682 Knight Dr, Benicia, CA 94510-3753 | 2017-03-23 |
| 1316487168 | Anne Klein | Marriage & Family Therapist | 700 E L St, Benicia, CA 94510-3515 | 2017-02-27 |
| 1356711931 | Wendy Rick | Marriage & Family Therapist | 2292 Clearview Cir, Benicia, CA 94510-2064 | 2015-09-25 |
| 1194191981 | Kenneth Adams | Marriage & Family Therapist | 1440 Military W Ste 201e, Benicia, CA 94510-2450 | 2015-08-14 |
| 1285988840 | Misty D Wilson | Marriage & Family Therapist | 816 Bantry Way, Benicia, CA 94510-3804 | 2012-11-05 |
| 1295085876 | Holly Lenore Richmond | Marriage & Family Therapist | 77 Solano Sq # 184, Benicia, CA 94510-2712 | 2012-09-11 |
| 1346596491 | Diane Stavropoulos Dimond | Marriage & Family Therapist | 821 E 2nd St Ste 201f, Benicia, CA 94510-3344 | 2012-07-26 |
| Find all providers in BENICIA | ||||
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| 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.