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Active NPI 1972050102 Individual Practitioner Male Practitioner

Mark Defren , LPT, CA

Licensed Psychiatric Technician • Clearlake, CA

Professional Overview & Biography Verified Profile Summary

Mark Defren, LPT, CA is a registered healthcare professional specializing in Licensed Psychiatric Technician in Clearlake, CA. Practice services are available at 7000B S CENTER DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7000b S Center Dr

Clearlake, CA 954228131

Telephone 7079947090
Associated Practice Facility / Clinic
🏢 County Of Lake Facility NPI 1619039211

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Psychiatric Technician in Clearlake, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
7 Specialists

Practicing in Clearlake, CA (2427 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Psychiatric Technician Primary Specialty

NUCC Taxonomy Code: 167G00000X

State License CA PT 21349

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Kali Mulligan

Case Manager/Care Coordinator

NPI 1023718350
Dennis Skinner , MFT

Marriage & Family Therapist

NPI 1033328976

Marriage and Family Therapist

Elise Jones

Case Manager/Care Coordinator

NPI 1053547034
NPI 1053787325

Registered Nurse

Raevan Shepherd , ASW

Social Worker - Clinical

NPI 1053812883

Associate Social Worker

Richard Cohn

Counselor - Mental Health

NPI 1053884395

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 06, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location September 06, 2016

Registered at 7000B S CENTER DR, CLEARLAKE, CA 954228131 (Tel: 7079947090)

📍
Updated Business Mailing Address September 06, 2016

Registered at 7000B S CENTER DR, CLEARLAKE, CA 954228131 (Tel: 7079947090)

👤
Provider Name / Credentials Updated September 06, 2016

Recorded as MARK DEFREN, LPT/CA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 06, 2016

Licensed Psychiatric Technician (License #PT 21349 in CA)

🟢
Initial NPI Registration & Enumeration September 06, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1972050102
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 06, 2016
Last Update: September 06, 2016
Sole Proprietor: No

Mailing Address

7000b S Center Dr

Clearlake, CA 954228131

Phone: 7079947090

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.