TIAWANA BULLOCK III
NPI 1306985502
Counselor in San Rafael, CA

NPI Status: Active since February 05, 2007

Contact Information

555 NORTHGATE DR
FAMILY SERVICE AGENCY OF MARIN
SAN RAFAEL, CA
ZIP 94903
Phone: (415) 491-5700
Fax: (415) 491-5750

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  • Individual
  • Female
  • Counselor

About TIAWANA BULLOCK

This page provides the complete NPI Profile along with additional information for Tiawana Bullock, a provider established in San Rafael, California with a medical specialization in Counselor. The healthcare provider is registered in the NPI registry with number 1306985502 assigned on February 2007. The practitioner's primary taxonomy code is 101Y00000X. The provider is registered as an individual and her NPI record was last updated 18 years ago.

NPI
1306985502
Provider Name
TIAWANA BULLOCK III
Gender
Female
Entity Type
Individual
Location Address
555 NORTHGATE DR FAMILY SERVICE AGENCY OF MARIN SAN RAFAEL, CA 94903
Location Phone
(415) 491-5700
Location Fax
(415) 491-5750
Mailing Address
555 NORTHGATE DR FAMILY SERVICE AGENCY OF MARIN SAN RAFAEL, CA 94903
Mailing Phone
(415) 491-5700
Mailing Fax
(415) 491-5750
Is Sole Proprietor?
No
Enumeration Date
02-05-2007
Last Update Date
07-08-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor

Taxonomy Code
101Y00000X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1306985502
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23061881050
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 0 + 6 + 1 + 8 + 8 + 1 + 0 + 5 + 0 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1306985502 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 19 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023108727MRS. MELISSA LEE
Individual
Counselor (Mental Health)555 NORTHGATE DR FAMILY SERVICE AGENCY OF MARIN
SAN RAFAEL, CA 94903
(415) 491-5700
1932299203MRS. ALEXIS ELIZABETH BERNSTEIN
Individual
Counselor (Mental Health)555 NORTHGATE DR FAMILY SERVICE AGENCY OF MARIN
SAN RAFAEL, CA 94903
(415) 491-5700
1295825628 KATHRYN STEVENSON LLOYD MFTT
Individual
Counselor (Mental Health)555 NORTHGATE DR FAMILY SERVICES OF MARIN
SAN RAFAEL, CA 94903
(415) 491-5700
1063592129MS. CARIN EBEY M.S.
Individual
Counselor (Mental Health)555 NORTHGATE DR FAMILY SERVICE AGENCY
SAN RAFAEL, CA 94903
(415) 491-5700
1851471874 TONI-MARIE LEHMANN LMFT
Individual
Counselor (Mental Health)555 NORTHGATE DR FAMILY SERVICE AGENCY OF MARIN
SAN RAFAEL, CA 94903
(415) 491-5700
1588744163MR. ROBERT W. KELLER
Individual
Counselor (Mental Health)555 NORTHGATE DR FAMILY SERVICE AGENCY OF MARIN
SAN RAFAEL, CA 94903
(415) 491-5700
1750463386MR. RONALD A WARREN PHD
Individual
Counselor (Mental Health)555 NORTHGATE DR FAMILY SERVICE AGENCY OF MARIN
SAN RAFAEL, CA 94903
(415) 491-5700
1194808196 JILL AMY SHELDON MFTI
Individual
Counselor (Mental Health)555 NORTHGATE DR FAMILY SERVICE AGENCY OF MARIN
SAN RAFAEL, CA 94903
(415) 491-5700
1780767855MS. NERINA M. CECCHIN IMF
Individual
Counselor (Mental Health)555 NORTHGATE DR FAMILY SERVICE AGENCY OF MARIN COUNTY
SAN RAFAEL, CA 94903
(415) 491-5700
1275617748 MARIAN ELIZABETH PRICE MFT
Individual
Counselor (Mental Health)555 NORTHGATE DR FAMILY SERVICE AGENCY OF MARIN
SAN RAFAEL, CA 94903
(415) 491-5700
1336223122MS. JOAN CAMPBELL ROANE MFT
Individual
Counselor (Mental Health)555 NORTHGATE DR FAMILY SERVICE AGENCY
SAN RAFAEL, CA 94903
(415) 491-5700
1679658272MS. MARTA VAN LEUVEN M.F.T.
Individual
Counselor (Mental Health)555 NORTHGATE DR FAMILY SERVICE AGENCY OF MARIN
SAN RAFAEL, CA 94903
(415) 491-5700
1821172503 KATHERINE SHINE M.S.
Individual
Counselor (Mental Health)555 NORTHGATE DR FAMILY SERVICE AGENCY OF MARIN
SAN RAFAEL, CA 94903
(415) 491-5700
1144305822MS. KATHLEEN ROSALIND TRUAX MFT
Individual
Counselor (Mental Health)555 NORTHGATE DR FAMILY SERVICE AGENCY OF MARIN
SAN RAFAEL, CA 94903
(415) 491-5700
1285719229MRS. MELISSA JACQUELINE TRONCIN-D'AMORE
Individual
Counselor (Mental Health)555 NORTHGATE DR FAMILY SERVICE AGENCY
SAN RAFAEL, CA 94903
(415) 491-5700
1912082876 KAREN M. DIBBLEE
Individual
Marriage & Family Therapist555 NORTHGATE DR
SAN RAFAEL, CA 94903
(415) 491-5700
1215013693MR. AARON RAY KENNEY MFT INTERN
Individual
Counselor (Mental Health)555 NORTHGATE DR FAMILY SERVICE AGENCY OF MARIN
SAN RAFAEL, CA 94903
(415) 491-5700
1265510275MS. JANET L GOODMAN MFT
Individual
Marriage & Family Therapist555 NORTHGATE DR
SAN RAFAEL, CA 94903
(415) 491-5700
1881766889DR. DELIRIS LIMARY MEDINA PSYD
Individual
Counselor (Mental Health)555 NORTHGATE DR FAMILY SERVICE AGENCY
SAN RAFAEL, CA 94903
(415) 491-5700

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306985502, enumerated in the NPI registry as an "individual" on February 05, 2007

The provider is located at 555 Northgate Dr Family Service Agency Of Marin San Rafael, Ca 94903 and the phone number is (415) 491-5700

The provider's speciality is Counselor with taxonomy code 101Y00000X

This NPI record was last updated on February 05, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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