MR. MATTHEW JOHN HOLLAND


Address: 555 Northgate Dr, Family Services Agency of Marin, San Rafael, CA 94903-3680
Phone: 4154915702

MR. MATTHEW JOHN HOLLAND (NPI# 1174804777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174804777
Entity Type Individual
Full Name MR. MATTHEW JOHN HOLLAND
Practice Address 555 Northgate Dr
Family Services Agency of Marin
San Rafael
CA 94903-3680
Practice Telephone 4154915702
Enumeration Date 2011-09-09
Last Update Date 2011-09-09
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

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1699141374 Matthew Riley Holland Specialist/Technologist 203 Village Sq, Pulaski, TN 38478-2929 2015-08-17
1306895008 Matthew Lee Holland Physical Therapist 6560 Fannin St, Suite 450, Houston, TX 77030-2761 2006-05-09
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Office Location

Street Address 555 NORTHGATE DR
FAMILY SERVICES AGENCY OF MARIN
City SAN RAFAEL
State CA
Zip Code 94903-3680

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548270267 Family Service Agency of Marin Clinic/Center 555 Northgate Dr, San Rafael, CA 94903-3680 2006-08-08
1851807077 Jose Luis Tijero Jr. Counselor 555 Northgate Dr, San Rafael, CA 94903-3680 2017-12-26
1952845869 Jessica Copeland Counselor 555 Northgate Dr, San Rafael, CA 94903-3680 2016-12-12
1235599036 Connie Mann Counselor 555 Northgate Dr, Suite 200, San Rafael, CA 94903-3680 2016-03-07
1932595683 Stephanie Schuman Counselor 555 Northgate Dr, Suite 200, San Rafael, CA 94903-3680 2015-04-09
1285043620 Megan Fuller O'donnell Counselor 555 Northgate Dr, Suite 100 Family Service Agency of Marin, San Rafael, CA 94903-3680 2014-08-11
1801147103 Marion Turner-riley Counselor 555 Northgate Dr, Family Service Agency of Marin, San Rafael, CA 94903-3680 2012-09-26
1801147616 Teresa Michelle Vera Counselor 555 Northgate Dr, San Rafael, CA 94903-3680 2012-09-20
1629326798 Stephanie Claire Lai Counselor 555 Northgate Dr, Suite 100, San Rafael, CA 94903-3680 2012-08-21
1831460476 Joanne Forman Counselor 555 Northgate Dr, San Rafael, CA 94903-3680 2012-01-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467089524 Christopher Sazo Counselor 1 St. Vincents Drive, San Rafael, CA 94903 2020-03-26
1134769482 Katherine Sieger Music Therapist 400 Civic Center Dr. #300, San Rafael, CA 94903 2020-01-14
1679064836 California In Home Care & Registry, Inc In Home Supportive Care 14b Mitchell Blvd, Suite B, San Rafael, CA 94903 2018-05-23
1922557586 Helen Elizabeth Shamis Marriage & Family Therapist 30 North San Pedro, Suite #265, Beyond Hunger, San Rafael, CA 94903 2016-09-23
1033572771 Henry Colbert Counselor 1 St. St. Vincent Drive, San Rafael, CA 94903 2016-03-31
1659736924 Robyn Bloom Marriage & Family Therapist 4 Joseph Court, San Rafael, CA 94903 2015-12-30
1851760565 Cheryl Clementson Substance Abuse Rehabilitation Facility 301 Smith Ranch Road, San Rafael, CA 94903 2015-09-23
1588043731 Chelsea Cooney Counselor 1 St. Vincent's Drive, San Rafael, CA 94903 2015-05-20
1083002315 Kaiser Permanente Psychiatric Unit 111 Smith Ranch Road, Kaiser Permanente, San Rafael, CA 94903 2015-01-09
1366857856 Travel Well Corporation Preventive Medicine 28 Mitchell Blvd, San Rafael, CA 94903 2014-06-24
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851830483 Bea Ivory-chambers Counselor 1330 Lincoln Ave Ste 202b, San Rafael, CA 94901-2142 2017-02-15
1932559069 Julia Prentice Counselor 920 Cresta Way, #6, San Rafael, CA 94903-5573 2016-06-20
1033572771 Henry Colbert Counselor 1 St. St. Vincent Drive, San Rafael, CA 94903 2016-03-31
1033528575 Diane Louise Ray Counselor 4 Majorca Ct, San Rafael, CA 94903-1520 2014-08-08
1487072542 Julie Lehman Counselor 1717 5th Ave Ste E, San Rafael, CA 94901-1810 2014-04-04
1073867081 Lisa Ann Kubiak Counselor 900 Mission Ave, San Rafael, CA 94901-6108 2012-10-30
1740530815 Deborah Ann Spake Counselor 712 D St. Suite P, San Rafael, CA 94901 2012-09-14
1386993210 Sarah Tischler Aikin Counselor 555 Northgate Drive, Suite 100, Family Service Agency of Marin, San Rafael, CA 94903-3680 2012-09-06
1477810182 Amanda Gloria Jean Conn Counselor 980 Lincoln Ave Ste 250, San Rafael, CA 94901-8802 2012-04-19
1558647487 Katherine O Bregar Counselor 361 Third St. Suite G, San Rafael, CA 94901 2011-10-24
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Competitor

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City SAN RAFAEL
Zip Code 94903

Improve Information

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Dataset Information

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.

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