FAMILY SERVICE AGENCY (NPI# 1013071232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013071232 |
| Entity Type | Organization |
| Organization Name | FAMILY SERVICE AGENCY |
| Practice Address |
555 Northgate Dr Family Service Agency of Marin San Rafael CA 94903-3680 |
| Mailing Address |
555 Northgate Drive Family Service Agency of Marin San Rafael CA 94903-3680 |
| Practice Telephone | 4154915700 |
| Practice Fax Number | 4154915755 |
| Mailing Telephone | 4154915700 |
| Mailing Fax Number | 4154915755 |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. JOAN MARY KRAEMER (THERAPIST) |
| Authorized Official Telephone | 4154915700 |
| Authorized Official Credential | MFTI |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | IMF52141 | CA | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427380385 | Family Service Agency | Counselor | 943 S Gilbert Rd, Ste. 400, Mesa, AZ 85204-4441 | 2010-02-03 |
| 1740487222 | Family Service Agency | Voluntary or Charitable | 1107 S Gilbert Rd, Suite 104, Mesa, AZ 85204-5232 | 2007-06-28 |
| 1255538732 | Family Service Agency | Voluntary or Charitable | 10220 N 31st Ave Ste 103-105, Phoenix, AZ 85051-9581 | 2007-06-28 |
| 1477597193 | Family Service Agency | Voluntary or Charitable | 2400 N. Central Avenue, Suite 101, Phoenix, AZ 85004-1341 | 2006-06-15 |
| 1184974347 | Family Service Agency | Community/Behavioral Health | 104 Walnut Ave, Suite 208, Santa Cruz, CA 95060-3900 | 2012-09-14 |
| 1942587217 | Family Service Agency | Point of Service | 943 S Gilbert Rd, Mesa, AZ 85204-4441 | 2011-11-14 |
| 1861561946 | Family Service Agency | Marriage & Family Therapist | 555 Northgate Dr, San Rafael, CA 94903-3680 | 2006-11-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FAMILY SERVICE AGENCY | 535 Marmion Ave, Youngstown, OH 44502-2323 |
| System for Award Management (SAM) Entities | FAMILY SERVICE AGENCY OF MICHIGAN | 1422 W Court St, Flint, MI 48503-5008 |
| System for Award Management (SAM) Entities | FAMILY SERVICE AGENCY OF SANTA BARBARA COUNTY | 123 W Gutierrez St, Santa Barbara, CA 93101-3424 |
| Washington State Corporations | FAMILY SERVICE AGENCY OF SANTA BARBARA COUNTY | 123 W Gutierrez St, Santa Barbara, CA 93101-3424 |
| Street Address |
555 NORTHGATE DR FAMILY SERVICE AGENCY OF MARIN |
| City | SAN RAFAEL |
| State | CA |
| Zip Code | 94903-3680 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548270267 | Family Service Agency of Marin | Clinic/Center | 555 Northgate Dr, San Rafael, CA 94903-3680 | 2006-08-08 |
| 1851807077 | Jose Luis Tijero Jr. | Counselor | 555 Northgate Dr, San Rafael, CA 94903-3680 | 2017-12-26 |
| 1952845869 | Jessica Copeland | Counselor | 555 Northgate Dr, San Rafael, CA 94903-3680 | 2016-12-12 |
| 1235599036 | Connie Mann | Counselor | 555 Northgate Dr, Suite 200, San Rafael, CA 94903-3680 | 2016-03-07 |
| 1932595683 | Stephanie Schuman | Counselor | 555 Northgate Dr, Suite 200, San Rafael, CA 94903-3680 | 2015-04-09 |
| 1285043620 | Megan Fuller O'donnell | Counselor | 555 Northgate Dr, Suite 100 Family Service Agency of Marin, San Rafael, CA 94903-3680 | 2014-08-11 |
| 1801147103 | Marion Turner-riley | Counselor | 555 Northgate Dr, Family Service Agency of Marin, San Rafael, CA 94903-3680 | 2012-09-26 |
| 1801147616 | Teresa Michelle Vera | Counselor | 555 Northgate Dr, San Rafael, CA 94903-3680 | 2012-09-20 |
| 1629326798 | Stephanie Claire Lai | Counselor | 555 Northgate Dr, Suite 100, San Rafael, CA 94903-3680 | 2012-08-21 |
| 1831460476 | Joanne Forman | Counselor | 555 Northgate Dr, San Rafael, CA 94903-3680 | 2012-01-12 |
| 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 | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396396826 | Family Matters of Marin | Community/Behavioral Health | 1346 4th St Ste 202, San Rafael, CA 94901-2860 | 2019-09-25 |
| 1083069447 | Bay Area Community Resources | Community/Behavioral Health | 103 Shoreline Parkway, San Rafael, CA 94901 | 2016-05-04 |
| 1144687302 | Ritter Center | Community/Behavioral Health | 190 Mill St, Dining Room, San Rafael, CA 94901-4021 | 2016-01-19 |
| 1619362662 | Center Point, Inc. | Community/Behavioral Health | 199 Mill St., San Rafael, CA 94901 | 2015-04-06 |
| 1902204597 | Dba Nancy Freitas Lambert Psyd | Community/Behavioral Health | 1330 Lincoln Ave Ste 102b, San Rafael, CA 94901-2141 | 2014-12-12 |
| 1669878765 | Seneca Family of Agencies | Community/Behavioral Health | 25 W Castlewood Dr, San Rafael, CA 94901-2538 | 2014-11-17 |
| 1396141198 | Seneca Family of Agencies | Community/Behavioral Health | 177 N San Pedro Rd, San Rafael, CA 94903-4200 | 2014-11-06 |
| 1376957373 | Shana Gaviglio Kenney | Community/Behavioral Health | 1665 Grand Ave, San Rafael, CA 94901-2211 | 2014-06-17 |
| 1104256411 | John Hamel & Associates | Community/Behavioral Health | 28 Upper Oak Dr, San Rafael, CA 94903-1732 | 2013-11-22 |
| 1093073876 | Bay Area Community Resources, Inc | Community/Behavioral Health | 3240 Kerner Blvd, San Rafael, CA 94901-4840 | 2012-04-30 |
| Find all providers in SAN RAFAEL | ||||
| City | SAN RAFAEL |
| Zip Code | 94903 |
Please comment or provide details below to improve the information on FAMILY SERVICE AGENCY.
| 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.