CHILD THERAPY INSTITUTE OF MARIN


Address: 558 San Anselmo Ave, San Anselmo, CA 94960-2621
Phone: 4154567724

CHILD THERAPY INSTITUTE OF MARIN (NPI# 1821633348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1821633348
Entity Type Organization
Organization Name CHILD THERAPY INSTITUTE OF MARIN
Practice Address 558 San Anselmo Ave
San Anselmo
CA 94960-2621
Mailing Address 1480 Lincoln Ave Ste 8
San Rafael
CA 94901-2085
Practice Telephone 4154567724
Practice Fax Number 4154561050
Enumeration Date 2019-11-07
Last Update Date 2019-11-07
Authorized Official Name SHERIE SHUGHART (ADMINISTRATIVE ASSISTANT)
Authorized Official Telephone 4154567724
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106H00000X Marriage & Family Therapist Behavioral Health & Social Service Providers

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1073074324 Child Therapy Institute of Marin Community/Behavioral Health 3195 California St Ste D, San Francisco, CA 94115-2412 2019-03-28
1760891931 Child Therapy Institute of Marin Clinic/Center 2300 Martin Luther King Jr Way, Resource Room, Berkeley, CA 94704-1412 2014-08-12
1487092144 Child Therapy Institute of Marin Community/Behavioral Health 2015 Virginia St, Berkeley, CA 94709-2229 2013-06-04
1265790489 Child Therapy Institute of Marin Community/Behavioral Health 92 Louise Street, San Rafael, CA 94901 2012-04-25
1619014081 Child Therapy Institute of Marin Clinic/Center 1480 Lincoln Ave Ste 8, San Rafael, CA 94901-2085 2007-02-01
1134641731 Child Therapy Institute of Marin Clinic/Center 11100 San Pablo Ave Ste 205, El Cerrito, CA 94530-2100 2017-07-14
1790216489 Child Therapy Institute of Marin Community/Behavioral Health 240 Tamal Vista Blvd, #155, Corte Madera, CA 94925-1132 2017-03-23
1801256300 Child Therapy Institute of Marin Community/Behavioral Health 700 E St, San Rafael, CA 94901-2762 2016-02-26
1154713774 Child Therapy Institute of Marin Clinic/Center 720 Southpoint Blvd, Petaluma, CA 94954-7495 2015-02-19
1497935308 Child Therapy Institute of Marin Community/Behavioral Health 2926 Lone Tree Way, Antioch, CA 94509-4924 2007-11-07

Office Location

Street Address 558 SAN ANSELMO AVE
City SAN ANSELMO
State CA
Zip Code 94960-2621

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922242437 Kate E Brennan Marriage & Family Therapist 558 San Anselmo Ave, San Anselmo, CA 94960-2621 2009-04-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568987261 Janna Alene Bennett Nurse Practitioner 67 Yolanda Dr, San Anselmo, CA 94960 2017-08-03
1144750720 Jill M Cochrane Speech-Language Pathologist 394 Redwood Rd, San Anselmo, CA 94960 2017-06-15
1871952655 Christa Santangelo Phd Community/Behavioral Health 130 Greenfield Avenue, San Anselmo, CA 94960 2016-02-22
1295856177 Joseph Odom Acupuncturist 22 Belle Avenue, #8, San Anselmo, CA 94960 2007-04-02
1720133648 Carol Elizabeth Fabric Marriage & Family Therapist 21 Encina Place, San Anselmo, CA 94960 2007-01-23
1053472134 Pamela Jankelow Acupuncturist 412 Redhill Ave, San Anselmo, CA 94960 2006-12-13
1023182631 Heather L. Murphy Counselor 300 Sunny Hills Dr., San Anselmo, CA 94960 2006-11-17
1720164684 Laurie J. Weiss Marriage & Family Therapist 300 Sunny Hills Dr, San Anselmo, CA 94960 2006-10-31
1295836708 Pearlyn Goodman-herrick Naturopath 1429 Butterfield Rd, San Anselmo, CA 94960 2006-09-26
1518999010 Neurology Clinic of Marin, A Medical Corporation Psychiatry & Neurology 50 Red Hill Ave, San Anselmo, CA 94960 2006-07-07
Find all providers in zip 94960

Taxonomy Information

Taxonomy Code 106H00000X
Grouping Behavioral Health & Social Service Providers
Classification Marriage & Family Therapist

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356703441 Louis Armstrong-dangles Marriage & Family Therapist 74 Madrone Ave, San Anselmo, CA 94960-2026 2016-03-28
1366769002 Gabriel F Rabu Marriage & Family Therapist 38 Ash Ave, San Anselmo, CA 94960-1803 2010-04-20
1922242437 Kate E Brennan Marriage & Family Therapist 558 San Anselmo Ave, San Anselmo, CA 94960-2621 2009-04-28
1184880601 Keri Kathleen Olrich Marriage & Family Therapist 2 Irving Drive, San Anselmo, CA 94960-1003 2008-08-04
1053570366 Gabrielle M. Miranda Marriage & Family Therapist 558 San Anselmo Ave Ste C, San Anselmo, CA 94960-2621 2008-06-03
1205040102 Alma Dunstan-mcdaniel Marriage & Family Therapist 44 Ash Ave., San Anselmo, CA 94960-1480 2007-05-09
1306067483 Ada Rosalyn Smith Marriage & Family Therapist 230 Floribel Ave, San Anselmo, CA 94960-2262 2007-05-02
1720133648 Carol Elizabeth Fabric Marriage & Family Therapist 21 Encina Place, San Anselmo, CA 94960 2007-01-23
1376606913 Ted Stewart Cousens Marriage & Family Therapist 130 Greenfield Ave Ste A, San Anselmo, CA 94960-2451 2006-12-18
1376622555 Joyce Elaine Thomson Marriage & Family Therapist 15 Austin Ave, San Anselmo, CA 94960-2924 2006-11-06
Find all providers in SAN ANSELMO

Competitor

Search similar providers

City SAN ANSELMO
Zip Code 94960

Improve Information

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Dataset Information

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.

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