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MARK DEFREN LPT/CA
NPI 1972050102
Licensed Psychiatric Technician in Clearlake, CA

Active since September 06, 2016
7000B S CENTER DR, CLEARLAKE, CA 95422(707) 994-7090 Get Directions Write a Review

NPPES record last updated: September 6, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mark Defren Lpt/ca NPPES

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

MARK DEFREN LPT/CA (NPI 1972050102) is an individual licensed psychiatric technician in Clearlake, California, licensed in California (PT 21349) and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1972050102
Entity TypeIndividualMale
Primary Taxonomy167G00000X
Provider Legal NameMARK DEFRENCredential: LPT/CA
Location Address7000B S CENTER DRClearlake, CA 95422-8131
Mailing Address7000b S Center DrClearlake, CA 95422-8131 · (707) 994-7090
Phone(707) 994-7090
Sole ProprietorNo
Enumeration DateSeptember 6, 2016
✔ NPI 1972050102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Psychiatric TechnicianNursing Service Providers
Taxonomy Code167G00000X
License✔ Licensed in CA · PT 21349
Definition
An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities.
7000B S CENTER DR, Clearlake, CA 95422
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WENDY GATTONI
Peer Specialist
7000B S CENTER DR
CLEARLAKE, CA 95422
Lake County (707) 533-5829
KALI MULLIGAN
Case Manager/Care Coordinator
7000B S CENTER DR
CLEARLAKE, CA 95422
Lake County (707) 994-7090
MR. DENNIS BARTON SKINNER MFT
Marriage & Family Therapist
7000B S CENTER DR
CLEARLAKE, CA 95422
Lake County (707) 994-7090
TANISHA ROJO MEDICAL ASSISTANT
Case Manager/Care Coordinator
7000B S CENTER DR
CLEARLAKE, CA 95422
Lake County (707) 274-9101
ANGELA ALFORD-WHITING RN
Registered Nurse
7000B S CENTER DR
CLEARLAKE, CA 95422
Lake County (707) 994-7090
RICHARD ALLAN COHN JR.
Counselor (Mental Health)
7000B S CENTER DR
CLEARLAKE, CA 95422
Lake County (707) 994-7090
MS. STEPHANIE OSTERMAN ODNEY CAADAC
Counselor (Addiction (Substance Use Disorder))
7000B S CENTER DR
CLEARLAKE, CA 95422
Lake County (707) 994-6494
ELIZABETH SALCEDO ABRICA MSW
Student in an Organized Health Care Education/Training Program
7000B S CENTER DR
CLEARLAKE, CA 95422
Lake County (707) 994-7090

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 Mark Defren's NPI number?

The NPI number for Mark Defren is 1972050102. It was assigned to this individual provider in the NPPES registry on September 6, 2016.

Where is Mark Defren located?

Mark Defren practices at 7000B S Center Dr, Clearlake, CA 95422. The listed phone number is (707) 994-7090.

What is Mark Defren's specialty?

The primary specialty registered for this NPI is Licensed Psychiatric Technician with taxonomy code 167G00000X.

When was this NPI record last updated?

The NPPES record for Mark Defren was last updated on September 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.