DR. MARK HOFFMAN (NPI# 1356581698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356581698 |
| Entity Type | Individual |
| Full Name | DR. MARK HOFFMAN |
| Practice Address |
100 Prison Rd Csp-sac Mental Health Dept. Represa CA 95671-3000 |
| Practice Telephone | 9169858610 |
| Mailing Telephone | 9169858610 |
| Enumeration Date | 2009-02-26 |
| Last Update Date | 2009-02-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103G00000X | Clinical Neuropsychologist | Behavioral Health & Social Service Providers | ||
| N | 103TC0700X |
Psychologist Specialization: Clinical |
PSY8428 | CA | Behavioral Health & Social Service Providers |
| Y | 103TF0200X |
Psychologist Specialization: Forensic |
Behavioral Health & Social Service Providers | ||
| N | 103TH0100X |
Psychologist Specialization: Health Service |
Behavioral Health & Social Service Providers | ||
| N | 103TR0400X |
Psychologist Specialization: Rehabilitation |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215564273 | Mark Hoffman | Pharmacist | 5419 N 80th Ln, Glendale, AZ 85303-5517 | 2020-03-26 |
| 1811459829 | Mark Hoffman | Specialist/Technologist | 745 Nw Calloway Dr, Corvallis, OR 97330-9578 | 2019-04-01 |
| 1679093421 | Mark Hoffman | Counselor | 1735 N Ashland Ave Ste 201, Chicago, IL 60622-1435 | 2017-06-22 |
| 1508189168 | Mark Richard Hoffman | Obstetrics & Gynecology | 800 Rose St Rm C-375, Lexington, KY 40536-0084 | 2010-03-10 |
| 1205953395 | Mark Hall Hoffman | Chiropractor | 111 Madison St, Suttons Bay, MI 49682 | 2007-03-23 |
| 1861541161 | Mark H Hoffman | Physical Therapist | 3929 Morlot Avenue, Fair Lawn, NJ 07410-4918 | 2007-01-09 |
| 1164593257 | Mark Hoffman | Internal Medicine | Lijmc-oncology Pavilion, 270-05 76th Avenue, New Hyde Park, NY 11040 | 2006-11-13 |
| 1932184405 | Mark Michael Hoffman | Internal Medicine | 420 Glen St, Glens Falls, NY 12801-2929 | 2005-12-07 |
| 1669475729 | Mark Stephen Hoffman | Chiropractor | 150 Nw 168th St, Ste 200, North Miami Beach, FL 33169-6034 | 2005-05-23 |
| 1740774264 | Mark Andrew Hoffman | Optometrist | 844 Ne Northgate Way, Seattle, WA 98125-7312 | 2018-06-18 |
| Street Address |
100 PRISON RD CSP-SAC MENTAL HEALTH DEPT. |
| City | REPRESA |
| State | CA |
| Zip Code | 95671-3000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730269929 | Kathryn Eilene Peters | Pharmacist | 100 Prison Rd, Represa, CA 95671-3000 | 2006-10-16 |
| 1043795875 | Marsha Evans | Psychologist | 100 Prison Rd, Represa, CA 95671-3000 | 2018-09-27 |
| 1528545738 | Abby Molinet | Psychologist | 100 Prison Rd, Represa, CA 95671-3000 | 2018-07-20 |
| 1053847665 | Jacqueline Daasch Caoile | Psychologist | 100 Prison Rd, Represa, CA 95671-3000 | 2017-05-03 |
| 1427509314 | Kathryn Manness | Social Worker | 100 Prison Rd, Represa, CA 95671-3000 | 2016-10-17 |
| 1124575717 | Juzelie Gomez | Student in an Organized Health Care Education/Training Program | 100 Prison Rd, Represa, CA 95671-3000 | 2016-09-01 |
| 1336500412 | Alyssa Aguilar | Psychologist | 100 Prison Rd, Represa, CA 95671-3000 | 2016-03-16 |
| 1841674579 | Pembe Ethem | Student in an Organized Health Care Education/Training Program | 100 Prison Rd, Represa, CA 95671-3000 | 2015-07-13 |
| 1326441627 | Suzanne Ladson | Psychologist | 100 Prison Rd, Represa, CA 95671-3000 | 2014-09-30 |
| 1740682228 | Nicole Thompson | Student in an Organized Health Care Education/Training Program | 100 Prison Rd, Represa, CA 95671-3000 | 2014-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811207426 | Nicole Calma | Counselor | 100 Prison Road Sacramento State Prison, Represa, CA 95671 | 2010-10-15 |
| 1578737359 | Laura Beebe | Registered Nurse | 1 Prison Road, Csp Sacramento, Folsom, CA 95671 | 2008-04-14 |
| 1588661730 | Gregory Carl Tinloy | Dentist | 100 Prison Rd., Represa, CA 95671 | 2005-07-01 |
| 1174768972 | Timothea Greer Mcginley | Psychologist | 100 Prison Road, Csp Sacramento, Represa, CA 95671 | 2008-12-08 |
| 1275717340 | Harry Moran Singh Dhesi | Dentist | 100 Prison Road, California State Prison Sacramento, Represa, CA 95671 | 2007-12-24 |
| 1235312463 | John Maciel Jr. | Dentist | 100 Prison Road, California State Prison Sacramento, Represa, CA 95671 | 2007-12-11 |
| 1730362930 | Dennis Rulon Fairbourn | Dentist | 100 Prison Road, California State Prison Sacramento, Represa, CA 95671 | 2007-12-11 |
| 1194070219 | Regina White | Social Worker | Csp Sacramento Mhsds Regina White, 100 Prison Road, Represa, CA 95671-0001 | 2012-07-14 |
| 1306174933 | Dudley Atkinson | Social Worker | Csp Sacramento, 100 Prison Road P.o., Represa, CA 95671-0001 | 2009-11-19 |
| 1932344280 | Amy Louise Holliday | Case Manager/Care Coordinator | California State Prison At Sacramento, 100 Prison Rd, Represa, CA 95671-0001 | 2008-12-15 |
| Find all providers in zip 95671 | ||||
| Taxonomy Code | 103TF0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Forensic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326441627 | Suzanne Ladson | Psychologist | 100 Prison Rd, Represa, CA 95671-3000 | 2014-09-30 |
| 1588901938 | Kimberly Loraine Wells | Psychologist | 300 Prison Rd, Represa, CA 95671-3001 | 2013-01-04 |
| 1093077448 | Sarah Divin | Psychologist | 100 Prison Rd, Represa, CA 95671-0002 | 2012-06-12 |
| 1144588385 | Michelle Kolinsky | Psychologist | 100 Prison Rd, Represa, CA 95671-3000 | 2012-04-25 |
| 1003197773 | Tiffanie L Bell-sprinkel | Psychologist | Prison Rd, Represa, CA 95671-0001 | 2011-09-07 |
| 1912135807 | Carol Lynn Camarillo | Psychologist | 100 Prison Rd, Represa, CA 95671-3000 | 2009-06-30 |
| 1184861882 | Laura Jean Sullivan | Psychologist | 100 Prison Rd, Represa, CA 95671-3000 | 2009-01-16 |
| 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 |
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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.