Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dallas J Mark

Individual provider Counselor · NPI 1689955569

Dallas J Mark is a Clinical Psychologist in San Rafael, California. Qualified in 2016, 10 years ago. Practices with Berkeley Therapy Institute, a 13-clinician group.

Years since qualifying
10
In the registry since
2011
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Practice location Address checks out

1466 Lincoln Ave
San Rafael, CA 94901-2021
Phone: (415) 457-3755
Fax: (415) 457-0849
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1689955569
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 6, 2011
Last updated in NPPESSeptember 6, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Berkeley Therapy Institute — 13 clinicians
Accepts Medicare assignment Not indicated

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