MARIN SERVICES FOR WOMEN (NPI# 1124176581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124176581 |
| Entity Type | Organization |
| Organization Name | MARIN SERVICES FOR WOMEN |
| Practice Address |
1251 S Eliseo Dr Greenbrae CA 94904-2005 |
| Mailing Address |
3717 E Thousand Oaks Blvd Suite 264 Westlake Village CA 91362-3607 |
| Practice Telephone | 4159245995 |
| Practice Fax Number | 4159246837 |
| Mailing Telephone | 8054131318 |
| Mailing Fax Number | 8054131304 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | APRIL J ANTONIOU (CREDENTIALING SERVICES MANAGER) |
| Authorized Official Telephone | 8054131318 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 210004CN | CA | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811283120 | Marin Services for Women | Clinic/Center | 1251 S Eliseo Dr, Greenbrae, CA 94904-2005 | 2011-06-24 |
| Street Address |
1251 S ELISEO DR |
| City | GREENBRAE |
| State | CA |
| Zip Code | 94904-2005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972890549 | Megan Amanda Miller | Counselor | 1251 S Eliseo Dr, Greenbrae, CA 94904-2005 | 2011-07-05 |
| 1811283120 | Marin Services for Women | Clinic/Center | 1251 S Eliseo Dr, Greenbrae, CA 94904-2005 | 2011-06-24 |
| 1164717237 | Kieawnie Dorine Shedrick | Counselor | 1251 S Eliseo Dr, Greenbrae, CA 94904-2005 | 2011-06-16 |
| 1720371834 | Kimberly Lottes | Marriage & Family Therapist | 1251 S Eliseo Dr, Greenbrae, CA 94904-2005 | 2011-05-23 |
| 1376836502 | Heather Dawn | Student in an Organized Health Care Education/Training Program | 1251 S Eliseo Dr, Greenbrae, CA 94904-2005 | 2011-05-20 |
| 1134448053 | Ramona Chanae Bruster | Counselor | 1251 S Eliseo Dr, Greenbrae, CA 94904-2005 | 2010-05-18 |
| 1144547993 | Meredith Kornfeld | Marriage & Family Therapist | 1251 S Eliseo Dr, Greenbrae, CA 94904-2005 | 2010-05-03 |
| 1184941296 | Tracy Elizabeth Thomas | Psychologist | 1251 S Eliseo Dr, Greenbrae, CA 94904-2005 | 2010-04-28 |
| 1982921144 | Elizabeth Melchor | Counselor | 1251 S Eliseo Dr, Greenbrae, CA 94904-2005 | 2010-04-28 |
| 1588987879 | Georgia Florin Gasner | Marriage & Family Therapist | 1251 S Eliseo Dr, Greenbrae, CA 94904-2005 | 2010-03-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295382372 | Stacey Nicole Drew | Occupational Therapist | 4 Ash Ave, Unit 10, Kentfield, CA 94904 | 2019-08-22 |
| 1154781631 | Harvey Sparks | Specialist/Technologist, Other | 350 Bon Air, Ste 100, Greenbrae, CA 94904 | 2016-02-26 |
| 1396120481 | Tamena Potts | Counselor | 1109 Sir Francis Drake, Kentfield, CA 94904 | 2015-07-30 |
| 1598014763 | Rupali Ray Chaudhuri | Nurse Practitioner | 1341 S. Eliseo Dr, Suite 200, Greenbrae, CA 94904 | 2012-09-04 |
| 1326304809 | Lucy Yingxin Zhang | Ophthalmology | 900 S Eliseo Dr Ste 102, Greenbrae, CA 94904 | 2012-04-09 |
| 1396073185 | Bonnie Louise Hoag | Marriage & Family Therapist | 905 Sir Francis Drake Blvd., Ste. F., Kentfield, CA 94904 | 2009-12-07 |
| 1801043880 | Alexander Vogel Uihlein | Internal Medicine | 900 S Eliseo Dr Ste 201, Greenbrae, CA 94904 | 2008-08-21 |
| 1649426115 | Marilyn Thatcher | Psychologist | 1010 Sir Francis Drake Blve, Ste. 103, Kentfield, CA 94904 | 2008-08-14 |
| 1205007598 | Sir Francis Drake Dental | Dentist | 919 Sir Francis Drake Blvd, Kentfield, CA 94904 | 2008-03-14 |
| 1841401734 | Rishi K Wadhwa | Neurological Surgery | 1100 S Eliseo Dr Ste 1, Greenbrae, CA 94904 | 2007-05-24 |
| Find all providers in zip 94904 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497359 | California Care Detox & Treatment | Substance Abuse Rehabilitation Facility | 25542 Dana Mesa Dr, San Juan Capistrano, CA 92675-4311 | 2020-11-02 |
| 1952900797 | A Sacred Path | Substance Abuse Rehabilitation Facility | 5671 Spanish Flat Rd, Garden Valley, CA 95633 | 2020-10-22 |
| 1467051672 | Spearhead Health Centers, LLC. | Substance Abuse Rehabilitation Facility | 11704 Wilshire Blvd Ste 226, Los Angeles, CA 90025-1504 | 2020-10-19 |
| 1073111613 | A Place To Heal | Substance Abuse Rehabilitation Facility | 14540 Hamlin St Ste H, Van Nuys, CA 91411-4153 | 2020-10-15 |
| 1871191569 | Old Oak Ranch Recovery Center | Substance Abuse Rehabilitation Facility | 19401 Susan Way, Sonora, CA 95370-9266 | 2020-10-14 |
| 1962009845 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 9952 Grandview Dr, La Mesa, CA 91941-6874 | 2020-10-05 |
| 1376140384 | Magic House Recovery Inc | Substance Abuse Rehabilitation Facility | 1001 S Mountvale Ct, Anaheim, CA 92808-2108 | 2020-10-02 |
| 1942807060 | New Perceptions North, LLC | Substance Abuse Rehabilitation Facility | 5084 N Fruit Ave Ste 105, Fresno, CA 93711-3000 | 2020-10-01 |
| 1346857679 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 3480 Hidden Trail Dr, Jamul, CA 91935-2104 | 2020-09-30 |
| 1992312227 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 2810 Camino Del Rio S Ste 106, San Diego, CA 92108-3819 | 2020-09-30 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.