MS. MARY KATHLEEN BRYAN (NPI# 1194880880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194880880 |
| Entity Type | Individual |
| Full Name | MS. MARY KATHLEEN BRYAN |
| Credential | MFT |
| Practice Address |
1330 Lincoln Ave Ste 303 San Rafael CA 94901-2143 |
| Mailing Address |
42 Graylawn Ave Petaluma CA 94952-2221 |
| Practice Telephone | 4154554771 |
| Mailing Telephone | 7077699648 |
| Mailing Fax Number | 7077699648 |
| Enumeration Date | 2006-12-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MFT#21232 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497303424 | Mary Katherine Bryan | Pharmacy Technician | 507 Huntington Rd, Easley, SC 29642-1944 | 2019-09-03 |
| 1437622255 | Mary Elizabeth Bryan | Social Worker | 218 6th Ave Apt 2d, Brooklyn, NY 11215-1226 | 2019-01-03 |
| 1811963507 | Mary Anne Bryan | Ophthalmology | 300 Veterans Boulevard, West Texas Va Health Care System, Big Spring, TX 79720 | 2006-02-23 |
| 1194207837 | Mary Monica Bryan | Nurse Practitioner | 441 Heymann Blvd, Lafayette, LA 70503-2611 | 2018-08-29 |
| 1629464391 | Mary Harrell Bryan | Speech-Language Pathologist | 700 University Blvd E, Tuscaloosa, AL 35401-2028 | 2015-04-09 |
| 1881876514 | Mary Ann Bryan | Counselor | 1620 E 12th St, Tulsa, OK 74120-5407 | 2007-12-05 |
| 1518162502 | Mary K Bryan | Marriage & Family Therapist | 205 S Pratt Ave, Carson City, NV 89701-4730 | 2007-06-19 |
| 1164585477 | Mary Ann Bryan | Social Worker | 4400 Shuffield Dr, Little Rock, AR 72205-7100 | 2006-12-18 |
| 1285715771 | Mary Irene Bryan | Physician Assistant | 660 Golden Ridge Rd, Suite 250, Golden, CO 80401-9541 | 2006-10-18 |
| 1376631614 | Mary Hart Bryan | Psychiatry & Neurology | 171 Ashley Ave, Charleston, SC 29425-0001 | 2006-10-11 |
| Street Address |
1330 LINCOLN AVE STE 303 |
| City | SAN RAFAEL |
| State | CA |
| Zip Code | 94901-2143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346671120 | Mona Monelli | Marriage & Family Therapist | 1330 Lincoln Ave Ste 303, San Rafael, CA 94901-2143 | 2013-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780207134 | Marianne Haissman Stefancic | Marriage & Family Therapist | 409 Forbes Ave., San Rafael, CA 94901 | 2020-05-20 |
| 1093292765 | Marin Community Clinic | Clinic/Center | 411 4th Strteet, Suite A, San Rafael, CA 94901 | 2018-07-25 |
| 1275052516 | Laura Ellen Silverstein | Marriage & Family Therapist | 600 Fifth Avenue, San Rafael, CA 94901 | 2017-09-19 |
| 1689101107 | Marin Family Recovery | Clinic/Center | 1209 Third St. Ste 4, San Rafael, CA 94901 | 2017-05-15 |
| 1376070011 | Tencia Beavers-sanchez | Counselor | 710 C Street Suite#8, Marin Outpatient&recoveryservices, Sanrafael, CA 94901 | 2017-05-12 |
| 1326584905 | Jamie Waterman | Emergency Medical Technician, Basic | 675 Sir Francis Drake Blvd, Kentfield, CA 94901 | 2017-01-06 |
| 1295270676 | Stephen Marks | Counselor | 900 Fifth Avenue, Suite 150, ; San Rafael, CA 94901 | 2016-12-21 |
| 1497299812 | Vesna Sturman | Psychologist | 712 D St Ste L, San Rafael, CA 94901 | 2016-12-05 |
| 1063955771 | Carol Dutton Hollenberg | Behavior Technician | 503 D St., San Rafael, CA 94901 | 2016-11-29 |
| 1083069447 | Bay Area Community Resources | Community/Behavioral Health | 103 Shoreline Parkway, San Rafael, CA 94901 | 2016-05-04 |
| Find all providers in zip 94901 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| 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 |
| Find all providers in SAN RAFAEL | ||||
| City | SAN RAFAEL |
| Zip Code | 94901 |
Please comment or provide details below to improve the information on MS. MARY KATHLEEN BRYAN.
| 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.