MARIN FAMILY RECOVERY (NPI# 1689101107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689101107 |
| Entity Type | Organization |
| Organization Name | MARIN FAMILY RECOVERY |
| Practice Address |
1209 Third St. Ste 4 San Rafael CA 94901 |
| Mailing Address |
Po Box 151306 San Rafael CA 94915-1306 |
| Practice Telephone | 4154501149 |
| Practice Fax Number | 4157271010 |
| Mailing Telephone | 4157415483 |
| Mailing Fax Number | 4157271010 |
| Enumeration Date | 2017-05-15 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | GINNY BAHR (OWNER) |
| Authorized Official Telephone | 4157415483 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
2256 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ANTHEM | 1568917995 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1206 3rd St Ste 6, San Rafael, CA 949013048 | 4157415483 | 4157271010 |
| Street Address |
1209 THIRD ST. STE 4 |
| City | SAN RAFAEL |
| State | CA |
| Zip Code | 94901 |
| 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 |
| 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 |
| 1952763724 | Donald Lee Merriam IIi | Counselor | 603 D Street, San Rafael, CA 94901 | 2016-03-22 |
| Find all providers in zip 94901 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891968855 | County of Marin | Clinic/Center | 3270 Kerner Boulevard, Building A, San Rafael, CA 94901-4841 | 2008-04-10 |
| 1326258856 | County of Marin | Clinic/Center | 10 North San Pedro, Suite 1020, San Rafael, CA 94903-4178 | 2007-05-23 |
| 1619014081 | Child Therapy Institute of Marin | Clinic/Center | 1480 Lincoln Ave Ste 8, San Rafael, CA 94901-2085 | 2007-02-01 |
| 1538206719 | Family Service Agency of Marin | Clinic/Center | 124 Belvedere St, San Rafael, CA 94901-4701 | 2007-01-30 |
| 1548270267 | Family Service Agency of Marin | Clinic/Center | 555 Northgate Dr, San Rafael, CA 94903-3680 | 2006-08-08 |
| 1194323881 | Lehman Therapy: Individual, Partner, and Family Counseling, Inc. | Clinic/Center | 1717 5th Ave Ste E, San Rafael, CA 94901-1810 | 2020-10-14 |
| 1184823700 | Roberta Seifert Phd A Psychological Corporation | Clinic/Center | 817 D St, San Rafael, CA 94901-2813 | 2007-07-13 |
| 1891820577 | County of Marin Community Mental Health Services | Clinic/Center | 20 N San Pedro Rd Ste 2021, San Rafael, CA 94903-4158 | 2007-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114527041 | M. Attarian A Marriage and Family Therapy Professional Corporation | Clinic/Center | 433 N Camden Dr Ste 400, Beverly Hills, CA 90210-4408 | 2020-10-29 |
| 1295335743 | Mindful Living Psychotherapy | Clinic/Center | 24340 Ca-78, Ramona, CA 95065 | 2020-10-26 |
| 1013523174 | Vitalis Wellness Center Inc. | Clinic/Center | 1519 Constitution Blvd Apt 201, Salinas, CA 93906-3150 | 2020-09-23 |
| 1083220453 | Sasha Jackson, LLC | Clinic/Center | 480 Ridge Creek Ln, Patterson, CA 95363-8776 | 2020-09-21 |
| 1003422486 | Nicholas Patrick Brown, Do | Clinic/Center | 419 Chestnut St Apt 3, Mount Shasta, CA 96067-2918 | 2020-09-21 |
| 1609481753 | Telecare Corporation | Clinic/Center | 8471 Enterprise Way, Oakland, CA 94621-1317 | 2020-09-14 |
| 1346854973 | A Home for Our Veterans | Clinic/Center | 1811 W 236th St, Torrance, CA 90501-5742 | 2020-09-01 |
| 1184238875 | Integrative Psychotherapy Group, A Marriage and Family Therapy Corp | Clinic/Center | 311 N Robertson Blvd Ste 718, Beverly Hills, CA 90211-1705 | 2020-09-01 |
| 1962016527 | Los Angeles County Department of Mental Health | Clinic/Center | 2934 E Garvey Ave South Ste 230, West Covina, CA 91791-6101 | 2020-09-01 |
| 1649883828 | Soul Solutions, LLC | Clinic/Center | 5100 N 6th St Ste 148, Fresno, CA 93710-7514 | 2020-08-26 |
| Find all providers with the same taxonomy | ||||
| City | SAN RAFAEL |
| Zip Code | 94901 |
Please comment or provide details below to improve the information on MARIN FAMILY RECOVERY.
| 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.