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Dr. Mark Douglas Breithaupt, PHD
Clinical Psychologist in San Jose, California
NPI 1053436337

Mark Douglas Breithaupt is a Clinical Psychologist based in San Jose, CA and is specialized in Clinical. Mark Douglas Breithaupt practices in San Jose, CA and has the professional credentials of PHD. The NPI Number for Mark Douglas Breithaupt is 1053436337 and holds a License No. PSY 499 (California).

The current practice location address for Mark Douglas Breithaupt is 1100 Lincoln Ave Ste 394, San Jose, CA and can be reached out via phone at 408-320-2747 and via fax at 408-320-2747. You can also correspond with Mark Douglas Breithaupt through the mailing address at PO BOX 8396, SAN JOSE, CA - 95155-8396 (mailing address contact number: 408-320-2747).

Location: 1100 Lincoln Ave Ste 394, San Jose, CA, 95155-8396
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053436337
Provider Name
Mark Douglas Breithaupt
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
1100 Lincoln Ave Ste 394, San Jose, CA, 95155-8396
Phone Number
408-320-2747
Fax Number
408-320-2747
Provider Enumeration Date
03/19/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
A 3812-3 01 HI HMSA
03451701 05 HI
institution
Provider Business Practice Location Address Details
Address
1100 Lincoln Ave Ste 394
City
San Jose
State
California
Zip
95125
Phone Number
408-320-2747
Fax Number
408-320-2747
person
Provider Business Mailing Address Details
Address
1100 Lincoln Ave Ste 394
City
San Jose
State
California
Zip
95125
Phone Number
408-320-2747
Fax Number
408-320-2747
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
103T00000X
License No.
PSY 499 (Hawaii)
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Addiction (Substance Use Disorder)
Taxonomy
103TA0400X
License No.
PSY 499 (Hawaii)
Definition
A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
()
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
person
Provider's Taxonomy Details 4
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
106H00000X
License No.
PSY 499 (Hawaii)
Definition
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.
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