MS. DIANE POLICELLI (NPI# 1649504580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649504580 |
Entity Type | Individual |
Full Name | MS. DIANE POLICELLI |
Credential | LMFT CATC |
Practice Address |
1440 Chinook Ct San Francisco CA 94130-1628 |
Mailing Address |
87 Ethel Ave Mill Valley CA 94941-5600 |
Practice Telephone | 4157461967 |
Mailing Telephone | 4153819333 |
Enumeration Date | 2009-09-24 |
Last Update Date | 2009-09-24 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
092147LP | CA | Behavioral Health & Social Service Providers |
Y | 106H00000X | Marriage & Family Therapist | 310 | CO | Behavioral Health & Social Service Providers |
Street Address |
1440 CHINOOK CT |
City | SAN FRANCISCO |
State | CA |
Zip Code | 94130-1628 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154461481 | Richard Bernard Beal | Counselor | 1440 Chinook Ct, San Francisco, CA 94130-1628 | 2007-02-07 |
1912233685 | Donald Victor Seals | Counselor | 1440 Chinook Ct, San Francisco, CA 94130-1628 | 2009-10-30 |
1780888545 | Mark Harden | Counselor | 1440 Chinook Ct, San Francisco, CA 94130-1628 | 2007-06-13 |
1629271655 | Ralph Fernelius | Counselor | 1440 Chinook Ct, San Francisco, CA 94130-1628 | 2007-06-07 |
1063615003 | Ovid Morgan | Counselor | 1440 Chinook Ct, San Francisco, CA 94130-1628 | 2007-06-07 |
1194928358 | Charles Lee Harris | Counselor | 1440 Chinook Ct, San Francisco, CA 94130-1628 | 2007-06-06 |
1487857736 | Salahudin Akbar | Counselor | 1440 Chinook Ct, San Francisco, CA 94130-1628 | 2007-06-06 |
1962543017 | Garnett Smith | Counselor | 1440 Chinook Ct, San Francisco, CA 94130-1628 | 2007-02-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750750295 | Ellajean Polk | Counselor | 852 Ave D, San Francisco, CA 94130 | 2015-09-15 |
1528183183 | Kristopher David Mcghee | Technician, Other | Cg Sector San Francisco, Bldg 1, Yerba Buena Island, San Francisco, CA 94130 | 2007-03-20 |
1891302683 | Carol Clarke Jones | Technician, Other | 1 Hillcrest Rd, Quarters B, San Fransisco, CA 94130 | 2020-09-25 |
1508966490 | Kyi Win | Internal Medicine | 1490 Mason St, San Francisco, CA 94130 | 2006-09-22 |
1053697540 | Tylisha Berry | Counselor | 1254 13th St Unit B, San Francisco, CA 94130-1005 | 2011-10-27 |
1033385562 | Jill M Massaro | Counselor | 1254 13th St, Apartment B, San Francisco, CA 94130-1005 | 2008-05-05 |
1659646685 | Home Health Ect | Foster Care Agency | 1226 Bayside Dr Unit F, Unit F, San Francisco, CA 94130-1121 | 2012-03-08 |
1336490358 | Daniel Horowitz | Counselor | 1212 Mariner Dr Unit E, San Francisco, CA 94130-1205 | 2012-10-01 |
1265070767 | Healthright 360 | Clinic/Center | 1202 Mariner Dr, San Francisco, CA 94130-1210 | 2019-12-16 |
1083224604 | Vilma Rizzo | Community Health Worker | 1318 Gateview Ave, San Francisco, CA 94130-1418 | 2020-08-07 |
Find all providers in zip 94130 |
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 |
---|---|---|---|---|
1043819329 | Justin Leigh Schreiner | Marriage & Family Therapist | 2140 Pierce St, San Francisco, CA 94115-2214 | 2020-10-19 |
1295333904 | Kelly Kiyomi Pong-der | Marriage & Family Therapist | 679 18th Ave Apt A, San Francisco, CA 94121-3822 | 2020-10-14 |
1639777543 | Graham Gallivan | Marriage & Family Therapist | 1200 Gough St Unit 4c, San Francisco, CA 94109-6614 | 2020-10-13 |
1700484029 | Melissa Mary Liptak | Marriage & Family Therapist | 2901 Webster St, San Francisco, CA 94123-4005 | 2020-10-09 |
1750988390 | Niki Nicole Sujata Khanna | Marriage & Family Therapist | 1699 Market St Apt 622, San Francisco, CA 94103-1327 | 2020-10-07 |
1821604976 | Helen Kalanithi | Marriage & Family Therapist | 584 Castro St Unit 3077, San Francisco, CA 94114-2512 | 2020-09-23 |
1770199648 | David Ford Peck Jr. | Marriage & Family Therapist | 1738 Union St Ste 302, San Francisco, CA 94123-4425 | 2020-09-16 |
1053925404 | Alison Suzette Poff | Marriage & Family Therapist | 245 11th St Ste 1, San Francisco, CA 94103-3732 | 2020-09-02 |
1154935930 | Jasmin Paula Littlefield | Marriage & Family Therapist | 555 Cole St Ste 6, San Francisco, CA 94117-2860 | 2020-08-31 |
1619589447 | Rima Sueishi Miyagawa | Marriage & Family Therapist | 447 Sutter St Ste 429, San Francisco, CA 94108-4630 | 2020-08-21 |
Find all providers in SAN FRANCISCO |
City | SAN FRANCISCO |
Zip Code | 94130 |
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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.