Dr Mikhail Gutkin, PHD is a
Counselor - Mental Health based in Vallejo, California. Dr Mikhail Gutkin is licensed to practice in * (Not Available) (license number ) and his current practice location is
1761 Broadway St, Vallejo, California. He can be reached at his office (for appointments etc.) via phone at
(707) 645-2700.
NPI number for Dr Mikhail Gutkin is 1679601041 and his current mailing address is 1761 Broadway St, Vallejo, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1679601041.
Healthcare Provider's Profile
| Full Name | Dr Mikhail Gutkin |
|---|
| Gender | Male |
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| Speciality | Counselor - Mental Health |
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| Location | 1761 Broadway St, Vallejo, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1679601041
- Provider Enumeration Date: 02/28/2007
- Last Update Date: 01/11/2022
Medical Identifiers
Medical identifiers for Dr Mikhail Gutkin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679601041 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | PSY24794 (California) | Secondary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | PSY24794 (California) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mikhail Gutkin is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Mikhail Gutkin, PHD
1761 Broadway St,
Vallejo, CA 94589-2226
Ph: () - | Dr Mikhail Gutkin, PHD
1761 Broadway St,
Vallejo, CA 94589-2226
Ph: (707) 645-2700 |
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