MS. MARILLA WAESCHE PIVONKA (NPI# 1417196023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417196023 |
| Entity Type | Individual |
| Full Name | MS. MARILLA WAESCHE PIVONKA |
| Credential | MFT |
| Practice Address |
240 Tamal Vista Blvd Ste 290 Corte Madera CA 94925-1159 |
| Mailing Address |
240 Tamal Vista Blvd Ste290 Corte Madera CA 94925-1159 |
| Practice Telephone | 4159244852 |
| Mailing Telephone | 4159244852 |
| Enumeration Date | 2009-02-05 |
| Last Update Date | 2009-02-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | MFT021755 | CA | Behavioral Health & Social Service Providers |
| Street Address |
240 TAMAL VISTA BLVD STE 290 |
| City | CORTE MADERA |
| State | CA |
| Zip Code | 94925-1159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396753232 | Charles S Fleckles | Psychiatry & Neurology | 240 Tamal Vista Blvd, Suite 162, Corte Madera, CA 94925 | 2006-08-04 |
| 1790216489 | Child Therapy Institute of Marin | Community/Behavioral Health | 240 Tamal Vista Blvd, #155, Corte Madera, CA 94925-1132 | 2017-03-23 |
| 1326279183 | Catherine E. Main, Inc. | Psychologist | 240 Tamal Vista Blvd, Suite 270, Corte Madera, CA 94925-1132 | 2009-07-28 |
| 1962633701 | Catherine Elizabeth Main | Psychologist | 240 Tamal Vista Blvd, Suite 270, Corte Madera, CA 94925-1132 | 2009-07-28 |
| 1780813550 | Naomi Butler | Marriage & Family Therapist | 240 Tamal Vista Blvd, Suite 270, Corte Madera, CA 94925-1132 | 2009-07-14 |
| 1124276050 | Lynn Mcleod | Marriage & Family Therapist | 240 Tamal Vista Blvd, Suite 162, Corte Madera, CA 94925-1132 | 2008-09-04 |
| 1194998047 | Jacqueline May Ladrech | Counselor | 240 Tamal Vista Blvd, Suite 270, Corte Madera, CA 94925-1132 | 2008-04-10 |
| 1891998449 | Indrojit Singh | Psychologist | 240 Tamal Vista Blvd, Ste #180, Corte Madera, CA 94925 | 2007-06-08 |
| 1164545141 | Esther G Stone | Social Worker | 240 Tamal Vista Blvd, #290, Corte Madera, CA 94925-1132 | 2007-04-06 |
| 1669502183 | Ernest Troy Bryant | Clinical Neuropsychologist | 240 Tamal Vista Blvd, Corte Madera, CA 94925-1132 | 2007-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386139061 | California Center for Ms and Neurology Inc | Psychiatry & Neurology | 21 Tamal Vista Blvd Ste 175, Corte Madera, CA 94925 | 2018-06-26 |
| 1982130514 | Summer Nipomnick | Psychologist | 200 Tamal Plaza, Suite 235, Corte Madera, CA 94925 | 2017-05-02 |
| 1376784561 | Marcie Morton | Chiropractor | 2 Fifer Ave Ste 130, Corte Madera, CA 94925 | 2009-03-17 |
| 1154598365 | Kristine Kay Twite Lehnen | Registered Nurse | 42 Creekside Ct, Corte Madera, CA 94925 | 2008-05-15 |
| 1811163884 | Susan Mary Nickerson | Nurse Anesthetist, Certified Registered | 239 Koch Rd, Corte Madera, CA 94925 | 2008-04-30 |
| 1225150485 | Noreen P Dunnigan | Marriage & Family Therapist | 200 Tamal Plaza, Ste 135, Corte Madera, CA 94925 | 2007-04-06 |
| 1356477889 | Rochelle L Teising | Marriage & Family Therapist | 100 Tamal Vista, #160, Corte Madera, CA 94925 | 2007-02-26 |
| 1518019181 | Lynne Harris | Psychologist | 100 Tamal Plaza, Suite 108, Corte Madera, CA 94925 | 2007-01-17 |
| 1801975032 | Julie B Young | Dentist | 81 Casa Buena, Suite 6, Corte Madera, CA 94925 | 2006-11-06 |
| 1033294020 | Ann Margaret O'hare | Internal Medicine | 155 Golden Hind Passage, Corte Madera, CA 94925 | 2006-10-26 |
| Find all providers in zip 94925 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992325336 | Lisa Sondin | Marriage & Family Therapist | 21 Tamal Vista Blvd Ste 216, Corte Madera, CA 94925-1127 | 2020-04-24 |
| 1841704491 | Elizabeth Suti | Marriage & Family Therapist | 21 Tamal Vista Blvd Ste 187, Corte Madera, CA 94925-1114 | 2017-11-17 |
| 1235525197 | Makhetsi Tessien | Marriage & Family Therapist | 45 San Clemente Dr Ste D230b, Corte Madera, CA 94925-1296 | 2015-04-07 |
| 1083007835 | Faye Simpson | Marriage & Family Therapist | 45 San Clemente Dr Ste D210, Corte Madera, CA 94925-1297 | 2015-03-17 |
| 1730580291 | Karen Morelli | Marriage & Family Therapist | 200 Tamal Vista Blvd Ste 130, Corte Madera, CA 94925-1111 | 2014-09-15 |
| 1659788438 | Catherine Lucey | Marriage & Family Therapist | 2 Creekside Ct, Corte Madera, CA 94925-1266 | 2014-07-14 |
| 1568894038 | Shannon Weisberg | Marriage & Family Therapist | 645 Tamalpais Dr Ste D, Corte Madera, CA 94925-1613 | 2013-08-06 |
| 1780023762 | Polly S Ely | Marriage & Family Therapist | 100 Tamal Plz Ste 270, Corte Madera, CA 94925-1162 | 2013-06-22 |
| 1225150485 | Noreen P Dunnigan | Marriage & Family Therapist | 200 Tamal Plaza, Ste 135, Corte Madera, CA 94925 | 2007-04-06 |
| 1063543361 | Wendy Homer | Marriage & Family Therapist | 200 Tamal Plz, Suite 135, Corte Madera, CA 94925-1128 | 2007-03-08 |
| Find all providers in CORTE MADERA | ||||
| City | CORTE MADERA |
| Zip Code | 94925 |
Please comment or provide details below to improve the information on MS. MARILLA WAESCHE PIVONKA.
| 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.