SHANNON WEISBERG (NPI# 1568894038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568894038 |
| Entity Type | Individual |
| Full Name | SHANNON WEISBERG |
| Credential | MFT |
| Practice Address |
645 Tamalpais Dr Ste D Corte Madera CA 94925-1613 |
| Mailing Address |
431 Green Glen Way Mill Valley CA 94941-4018 |
| Practice Telephone | 4152502343 |
| Mailing Telephone | (415) 389-1952 |
| Enumeration Date | 2013-08-06 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 95759 | CA | Behavioral Health & Social Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 431 Green Glen Way, Mill Valley, CA 949414018 | 4153891952 | |
| 4340 Redwood Hwy Ste D310, San Rafael, CA 949032136 | 4152502343 | |
| 582 Market St Ste 1210, San Francisco, CA 941045313 | 4152502343 |
| Street Address |
645 TAMALPAIS DR STE D |
| City | CORTE MADERA |
| State | CA |
| Zip Code | 94925-1613 |
| 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 |
| 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 |
| 1811024714 | Nancy Dagenhart | Marriage & Family Therapist | 100 Tamal Plz Ste 100, Corte Madera, CA 94925-1161 | 2007-02-27 |
| Find all providers in CORTE MADERA | ||||
| City | CORTE MADERA |
| Zip Code | 94925 |
Please comment or provide details below to improve the information on SHANNON WEISBERG.
| 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.