LUCKY MILO WHITBURN-THOMAS
NPI 1558156307
Student in an Organized Health Care Education/Training Program in Berkeley, CA

Active since April 11, 2025
1521 UNIVERSITY AVE, BERKELEY, CA 94703(510) 644-6965 Get Directions Write a Review

NPPES record last updated: December 4, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 4, 2025, Apr 11, 2025 (2 updates tracked since 2025).

About Lucky Milo Whitburn-thomas NPPES

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

LUCKY MILO WHITBURN-THOMAS (NPI 1558156307) is an individual student in an organized health care education/training program in Berkeley, California, licensed in California (390200000) and active in the NPI registry since April 2025.Information from the official NPPES registry record.

NPPES Registry Identity

NPI1558156307
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameLUCKY MILO WHITBURN-THOMAS
Location Address1521 UNIVERSITY AVEBerkeley, CA 94703-1422
Mailing Address1521 University AveBerkeley, CA 94703-1422 · (510) 981-5290
Sole ProprietorYes
Enumeration DateApril 11, 2025
Last NPPES UpdateDecember 4, 20252 updates tracked since enumeration
NPPES CertifiedDecember 4, 2025
NPI 1558156307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in CA · 390200000
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1521 UNIVERSITY AVE, Berkeley, CA 94703

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Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Clinic/Center (Mental Health (Including Community Mental Health Center))
1521 UNIVERSITY AVE
BERKELEY, CA 94703
Counselor
1521 UNIVERSITY AVE
BERKELEY, CA 94703
Counselor
1521 UNIVERSITY AVE
BERKELEY, CA 94703
Marriage & Family Therapist
1521 UNIVERSITY AVE
BERKELEY, CA 94703
Behavior Technician
1521 UNIVERSITY AVE
BERKELEY, CA 94703
Social Worker (Clinical)
1521 UNIVERSITY AVE
BERKELEY, CA 94703
Psychologist (Clinical)
1521 UNIVERSITY AVE
BERKELEY, CA 94703
Clinic/Center (Adolescent and Children Mental Health)
1521 UNIVERSITY AVE
BERKELEY, CA 94703
Marriage & Family Therapist
1521 UNIVERSITY AVE
BERKELEY, CA 94703
Marriage & Family Therapist
1521 UNIVERSITY AVE
BERKELEY, CA 94703
Community Health Worker
1521 UNIVERSITY AVE
BERKELEY, CA 94703
Student in an Organized Health Care Education/Training Program
1521 UNIVERSITY AVE
BERKELEY, CA 94703
Marriage & Family Therapist
1521 UNIVERSITY AVE
BERKELEY, CA 94703
Student in an Organized Health Care Education/Training Program
1521 UNIVERSITY AVE
BERKELEY, CA 94703
Social Worker
1521 UNIVERSITY AVE
BERKELEY, CA 94703
Student in an Organized Health Care Education/Training Program
1521 UNIVERSITY AVE
BERKELEY, CA 94703
Student in an Organized Health Care Education/Training Program
1521 UNIVERSITY AVE
BERKELEY, CA 94703
Student in an Organized Health Care Education/Training Program
1521 UNIVERSITY AVE
BERKELEY, CA 94703
Marriage & Family Therapist
1521 UNIVERSITY AVE
BERKELEY, CA 94703

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1558156307, enumerated as an "individual" on April 11, 2025.

The provider is located at 1521 UNIVERSITY AVE BERKELEY, CA 94703 and the phone number is (510) 644-6965.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.