COUNTY OF MARIN COMMUNITY MENTAL HEALTH SERVICES (NPI# 1891820577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891820577 |
| Entity Type | Organization |
| Organization Name | COUNTY OF MARIN COMMUNITY MENTAL HEALTH SERVICES |
| Practice Address |
20 N San Pedro Rd Ste 2021 San Rafael CA 94903-4158 |
| Practice Telephone | 4154996769 |
| Practice Fax Number | 4154994283 |
| Mailing Telephone | 4154996769 |
| Mailing Fax Number | 4154994283 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2008-06-12 |
| Authorized Official Name | MS. KATHY S. KIPP (PROJECT COORDINATOR) |
| Authorized Official Telephone | 7074997370 |
| Authorized Official Credential | MBA |
| 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) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 000002177 | 05 |
| Street Address |
20 N SAN PEDRO RD STE 2021 |
| City | SAN RAFAEL |
| State | CA |
| Zip Code | 94903-4158 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114940624 | Bruce Fraser Gurganus | Counselor | 20 N San Pedro Rd Ste 2021, San Rafael, CA 94903-4158 | 2006-07-25 |
| 1285272336 | John Marc Perez | Student in an Organized Health Care Education/Training Program | 20 N San Pedro Rd Ste 2021, San Rafael, CA 94903-4158 | 2019-12-18 |
| 1992270490 | Aline Litmanowicz | Counselor | 20 N San Pedro Rd Ste 2021, San Rafael, CA 94903-4158 | 2018-10-10 |
| 1831673805 | Paulina Machi | Student in an Organized Health Care Education/Training Program | 20 N San Pedro Rd Ste 2021, San Rafael, CA 94903-4158 | 2018-09-17 |
| 1487134086 | Lucy Muthoni Ndungu | Student in an Organized Health Care Education/Training Program | 20 N San Pedro Rd Ste 2021, San Rafael, CA 94903-4158 | 2018-08-14 |
| 1326526658 | Michele Kim Pui Woo | Student in an Organized Health Care Education/Training Program | 20 N San Pedro Rd Ste 2021, San Rafael, CA 94903-4158 | 2018-07-30 |
| 1922526466 | Caitriona Alice Tilden | Student in an Organized Health Care Education/Training Program | 20 N San Pedro Rd Ste 2021, San Rafael, CA 94903-4158 | 2017-09-05 |
| 1952829814 | John Adrian Liedecke | Student in an Organized Health Care Education/Training Program | 20 N San Pedro Rd Ste 2021, San Rafael, CA 94903-4158 | 2017-08-31 |
| 1942726104 | Gina Asbo | Student in an Organized Health Care Education/Training Program | 20 N San Pedro Rd Ste 2021, San Rafael, CA 94903-4158 | 2017-08-19 |
| 1275940710 | Alena Gittens | Student in an Organized Health Care Education/Training Program | 20 N San Pedro Rd Ste 2021, San Rafael, CA 94903 | 2014-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467089524 | Christopher Sazo | Counselor | 1 St. Vincents Drive, San Rafael, CA 94903 | 2020-03-26 |
| 1134769482 | Katherine Sieger | Music Therapist | 400 Civic Center Dr. #300, San Rafael, CA 94903 | 2020-01-14 |
| 1679064836 | California In Home Care & Registry, Inc | In Home Supportive Care | 14b Mitchell Blvd, Suite B, San Rafael, CA 94903 | 2018-05-23 |
| 1922557586 | Helen Elizabeth Shamis | Marriage & Family Therapist | 30 North San Pedro, Suite #265, Beyond Hunger, San Rafael, CA 94903 | 2016-09-23 |
| 1033572771 | Henry Colbert | Counselor | 1 St. St. Vincent Drive, San Rafael, CA 94903 | 2016-03-31 |
| 1659736924 | Robyn Bloom | Marriage & Family Therapist | 4 Joseph Court, San Rafael, CA 94903 | 2015-12-30 |
| 1851760565 | Cheryl Clementson | Substance Abuse Rehabilitation Facility | 301 Smith Ranch Road, San Rafael, CA 94903 | 2015-09-23 |
| 1588043731 | Chelsea Cooney | Counselor | 1 St. Vincent's Drive, San Rafael, CA 94903 | 2015-05-20 |
| 1083002315 | Kaiser Permanente | Psychiatric Unit | 111 Smith Ranch Road, Kaiser Permanente, San Rafael, CA 94903 | 2015-01-09 |
| 1366857856 | Travel Well Corporation | Preventive Medicine | 28 Mitchell Blvd, San Rafael, CA 94903 | 2014-06-24 |
| Find all providers in zip 94903 | ||||
| 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 |
|---|---|---|---|---|
| 1689101107 | Marin Family Recovery | Clinic/Center | 1209 Third St. Ste 4, San Rafael, CA 94901 | 2017-05-15 |
| 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 |
| 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 | 94903 |
Please comment or provide details below to improve the information on COUNTY OF MARIN COMMUNITY MENTAL HEALTH SERVICES.
| 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.