Provider Demographics
NPI:1730115247
Name:TK SVENSSON MD & S MORROW MD INC
Entity Type:Organization
Organization Name:TK SVENSSON MD & S MORROW MD INC
Other - Org Name:CLINICAL TRAINING & RESEARCH INSTITUTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TRAVIS
Authorized Official - Middle Name:K
Authorized Official - Last Name:SVENSSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD, NP, RN
Authorized Official - Phone:650-342-1966
Mailing Address - Street 1:25 EDWARDS CT STE 105
Mailing Address - Street 2:
Mailing Address - City:BURLINGAME
Mailing Address - State:CA
Mailing Address - Zip Code:94010-2421
Mailing Address - Country:US
Mailing Address - Phone:650-342-1966
Mailing Address - Fax:650-685-6552
Practice Address - Street 1:25 EDWARDS CT STE 105
Practice Address - Street 2:
Practice Address - City:BURLINGAME
Practice Address - State:CA
Practice Address - Zip Code:94010-2421
Practice Address - Country:US
Practice Address - Phone:650-504-3801
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TK SVENSSON MD & S MORROW MD INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-06-25
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG805022084A0401X, 2084P0800X, 208D00000X, 208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No2084A0401XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction MedicineGroup - Multi-Specialty
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA0001131400OtherMANAGED HEALTH NETWORK
CA466412213OtherTRICARE
CA344648OtherMHN
CA466412213OtherUNITED BEHAVIORAL HEALTH
KY0005381727OtherAETNA USA
CA80504OtherSAN MATEO COUNTY MENTAL H
CA466412213OtherMAGELLAN BEHAVIORAL HEALT
CA5578-03OtherPACIFICARE BEHAVIORAL HEA
CA3697319OtherAETNA HEALTH CALIFORNIA
CA15-65929OtherUNITED HEALTHCARE SERVICE
CA151885OtherVALUE OPTIONS
CA1565929OtherUSBEHAVIORALHEALTHPLAN
CA3697319OtherAETNA HEALTH CALIFORNIA
KY0005381727OtherAETNA USA
CA80504OtherSAN MATEO COUNTY MENTAL H
MN========= 0001OtherCIGNA BEHAVIORAL HEALTH