Dr Max Benjamin Sutton-smolin, PSYD is a
Psychologist - Clinical based in Emeryville, California. Dr Max Benjamin Sutton-smolin is licensed to practice in California (license number PSY34100) and his current practice location is
1480 64th St Ste 150, Emeryville, California. He can be reached at his office (for appointments etc.) via phone at
(415) 296-5290.
NPI number for Dr Max Benjamin Sutton-smolin is 1720375561 and his current mailing address is 1480 64th St Ste 150, Emeryville, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1720375561.
Healthcare Provider's Profile
| Full Name | Dr Max Benjamin Sutton-smolin |
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| Gender | Male |
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| Speciality | Psychologist - Clinical |
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| Location | 1480 64th St Ste 150, Emeryville, 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: 1720375561
- Provider Enumeration Date: 06/30/2011
- Last Update Date: 04/27/2023
Medical Identifiers
Medical identifiers for Dr Max Benjamin Sutton-smolin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720375561 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | PSY34100 (California) | 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 Max Benjamin Sutton-smolin 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 Max Benjamin Sutton-smolin, PSYD
1480 64th St Ste 150,
Emeryville, CA 94608-2267
Ph: (415) 296-5290 | Dr Max Benjamin Sutton-smolin, PSYD
1480 64th St Ste 150,
Emeryville, CA 94608-2267
Ph: (415) 296-5290 |
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