MARY ALTENAU (NPI# 1174716039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174716039 |
| Entity Type | Individual |
| Full Name | MARY ALTENAU |
| Practice Address |
1800 Gravenstein Hwy N Sebastopol CA 95472-2607 |
| Mailing Address |
6 Kaden Ct Novato CA 94947-4613 |
| Practice Telephone | 7078237300 |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2020-07-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
1800 GRAVENSTEIN HWY N |
| City | SEBASTOPOL |
| State | CA |
| Zip Code | 95472-2607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639226814 | Tlc Child and Family Services | Clinic/Center | 1800 Gravenstein Hwy N, Bldg A - E, Sebastopol, CA 95472-2607 | 2007-01-03 |
| 1053926766 | Mary Peterson | Counselor | 1800 Gravenstein Hwy N, Sebastopol, CA 95472-2607 | 2020-09-10 |
| 1588206437 | Melissa Salini | Social Worker | 1800 Gravenstein Hwy N, Sebastopol, CA 95472-2607 | 2019-10-11 |
| 1417446543 | Anna Vittoria Frattolillo | Marriage & Family Therapist | 1800 Gravenstein Hwy N, Sebastopol, CA 95472-2607 | 2018-05-03 |
| 1700374147 | Melissa Coello | Counselor | 1800 Gravenstein Hwy N, Sebastopol, CA 95472-2607 | 2018-05-01 |
| 1619473295 | Elizabeth Barone | Counselor | 1800 Gravenstein Hwy N, Sebastopol, CA 95472-2607 | 2018-04-03 |
| 1720536329 | Lawrence Segrue | Marriage & Family Therapist | 1800 Gravenstein Hwy N, Sebastopol, CA 95472-2607 | 2016-09-13 |
| 1053867739 | Heather Tidrick | Counselor | 1800 Gravenstein Hwy N, Sebastopol, CA 95472-2607 | 2016-08-31 |
| 1285095638 | Nima Saalabi | Counselor | 1800 Gravenstein Hwy N, Sebastopol, CA 95472-2607 | 2016-03-14 |
| 1770985558 | Aimee Fouche | Marriage & Family Therapist | 1800 Gravenstein Hwy N, Sebastopol, CA 95472-2607 | 2014-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558916791 | Mellisa Nicole Elrod | Occupational Therapist | 1935 Gravenstein Hwy, Sebastopol, CA 95472 | 2019-08-05 |
| 1457820987 | Isabel Brooke Martinez | Acupuncturist | 961 Gravenstein Hwy South, # 100, Sebastopol, CA 95472 | 2018-11-14 |
| 1275025470 | Shahbano Syeda | Specialist/Technologist | 846/848 Gravenstein Hwy South, Sebastopol, CA 95472 | 2018-06-04 |
| 1467990812 | Mathew Metzgar | Marriage & Family Therapist | 1800 N. Gravenstein Hwy, Sebastopol, CA 95472 | 2017-02-06 |
| 1760939318 | Andrea Kirk | Psychologist | 876 Gravenstein Hwy S., Suite 6, Sebastopol, CA 95472 | 2016-09-01 |
| 1548629371 | Stacy Simons | Massage Therapist | 103 Morris St Ste V, Sebastopol, CA 95472 | 2016-02-22 |
| 1619341880 | Carol Schmid | Counselor | 1800 N, Gravenstein Hwy, Sebastopol, CA 95472 | 2015-11-25 |
| 1801273727 | Aaron Martinez | Specialist/Technologist | 7441 Witter Road, Sebastopol, CA 95472 | 2015-04-29 |
| 1699167049 | Nia Kaye | Marriage & Family Therapist | 130 Petaluma Ave Ste 2c, Sebastopol, CA 95472 | 2015-02-23 |
| 1497091383 | Caitlin Marie Kirkman | Midwife | 5611 Hessel Ave, Sebastopol, CA 95472 | 2012-12-20 |
| Find all providers in zip 95472 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679038780 | James Williams | Counselor | 876 Highway 116 S Ste 6, Sebastopol, CA 95472-4545 | 2019-02-02 |
| 1649740226 | Alen Schwab | Counselor | 1800 Gravenstein Highway North, Sebastopol, CA 95473 | 2018-11-27 |
| 1619341880 | Carol Schmid | Counselor | 1800 N, Gravenstein Hwy, Sebastopol, CA 95472 | 2015-11-25 |
| 1538544952 | Arianna Passaro | Counselor | 855 Midpine Way, Sebastopol, CA 95472-5518 | 2015-07-27 |
| 1578843801 | Katherine J Schwimmer | Counselor | 11250 Barnett Valley Rd, Sebastopol, CA 95472-9555 | 2011-08-17 |
| 1700110392 | Anne Brown Gibson | Counselor | 874 Gravenstein Ave Ste 13, Sebastopol, CA 95472-4555 | 2009-09-29 |
| 1396078564 | Paula Wright | Counselor | 7856 Atkinson Rd, Sebastopol, CA 95472-2605 | 2009-09-04 |
| 1891965000 | Jessie Rose Shepherd | Counselor | 7680 Elphick Rd, Sebastopol, CA 95472-4751 | 2008-03-04 |
| 1649450206 | Ellen Christine Jordan | Counselor | 446 S High St, Sebastopol, CA 95472-4369 | 2007-11-11 |
| 1962521088 | Merle Jenaii Gold | Counselor | 7550 Healdsburg Ave, Sebastopol, CA 95472-3325 | 2007-03-28 |
| Find all providers in SEBASTOPOL | ||||
| City | SEBASTOPOL |
| Zip Code | 95472 |
Please comment or provide details below to improve the information on MARY ALTENAU.
| 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.