Dallas J. Mark
NPI 1689955569ActiveIndividual· Counselor· San Rafael, CA
Counselor with Berkeley Therapy Institute, practicing in San Rafael, California. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1689955569 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Sep 6, 2011 |
| Last updated in NPPES | Sep 6, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor Primary | 101Y00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (CA) |
|---|
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Medical group
- Berkeley Therapy InstituteBerkeley, CA · 14 clinicians
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