ERIC STULLMAN LMFT
NPI 1205598448
Marriage & Family Therapist in Oakland, CA

Active since October 05, 2021Opted out of Medicare · through Apr 11, 2028
4401 TOMPKINS AVE, OAKLAND, CA 94619(925) 303-3209 Get Directions Write a Review

NPPES record last updated: October 5, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eric Stullman Lmft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ERIC STULLMAN LMFT (NPI 1205598448) is an individual marriage & family therapist in Oakland, California, licensed in California (78428) and active in the NPI registry since October 2021. He has opted out of Medicare through April 11, 2028.

NPPES Registry Identity

NPI1205598448
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameERIC STULLMANCredential: LMFT
Location Address4401 TOMPKINS AVEOakland, CA 94619-2822
Mailing Address2709 Alcatraz AveBerkeley, CA 94705-2705
Sole ProprietorNo
Enumeration DateOctober 5, 2021
NPPES CertifiedOctober 5, 2021
NPI 1205598448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in CA · 78428
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.
4401 TOMPKINS AVE, Oakland, CA 94619

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Eric Stullman Lmft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 11, 2024 through April 11, 2028.

Opt-Out Effective DateApril 11, 2024
Opt-Out In Effect ThroughApril 11, 2028Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eric Stullman's NPI number?

The NPI number for Eric Stullman is 1205598448. It was assigned to this individual provider in the NPPES registry on October 5, 2021.

Where is Eric Stullman located?

Eric Stullman practices at 4401 Tompkins Ave, Oakland, CA 94619. The listed phone number is (925) 303-3209.

What is Eric Stullman's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Eric Stullman enrolled in Medicare?

No. Eric Stullman has opted out of Medicare through April 11, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Eric Stullman was last updated on October 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.