STACEY KATZ


Address: 1601 2nd St Ste 104, San Rafael, CA 94901
Phone: 4155269712

STACEY KATZ (NPI# 1265930481) 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) 1265930481
Entity Type Individual
Full Name STACEY KATZ
Practice Address 1601 2nd St Ste 104
San Rafael
CA 94901
Mailing Address 1601 2nd St Ste 104
San Rafael
CA 94901-2701
Practice Telephone 4155269712
Enumeration Date 2018-01-23
Last Update Date 2019-11-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
7221 CA Behavioral Health & Social Service Providers
N 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
250 Bon Air Rd Unit B, Greenbrae, CA 949041702 4154736648
13 Peter Behr Dr, San Rafael, CA 949035216 4154736648

Other Providers STACEY KATZ

NPI Name Taxonomy Address Enumeration
1720436199 Stacey Katz Counselor 191 Broadway, Amityville, NY 11701-2790 2016-05-26
1225056963 Stacey Katz Psychologist 101 Theall Rd, Rye, NY 10580-1406 2006-07-18

Office Location

Street Address 1601 2ND ST STE 104
City SAN RAFAEL
State CA
Zip Code 94901

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417238429 James Albert Ricci Counselor 1601 2nd St Ste 104, San Rafael, CA 94901-2701 2011-09-02
1982230934 Verna Ervin Counselor 1601 2nd St Ste 104, San Rafael, CA 94901-2701 2020-03-20
1275167744 Miles Roberts Counselor 1601 2nd St Ste 104, San Rafael, CA 94901-2701 2020-02-24
1871153536 Anthony Fregoso Counselor 1601 2nd St Ste 104, San Rafael, CA 94901-2701 2019-06-15
1336709054 Dion Ray Moore Counselor 1601 2nd St Ste 104, San Rafael, CA 94901-2701 2019-06-14
1619470234 Dana Annmarie Cheatum Counselor 1601 2nd St Ste 104, San Rafael, CA 94901-2701 2018-03-09
1568900983 Melvy Ramos Case Manager/Care Coordinator 1601 2nd St Ste 104, San Rafael, CA 94901-2701 2017-02-06

Providers in the same zip code

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
1689101107 Marin Family Recovery Clinic/Center 1209 Third St. Ste 4, San Rafael, CA 94901 2017-05-15
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
Find all providers in zip 94901

Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851830483 Bea Ivory-chambers Counselor 1330 Lincoln Ave Ste 202b, San Rafael, CA 94901-2142 2017-02-15
1932559069 Julia Prentice Counselor 920 Cresta Way, #6, San Rafael, CA 94903-5573 2016-06-20
1033572771 Henry Colbert Counselor 1 St. St. Vincent Drive, San Rafael, CA 94903 2016-03-31
1033528575 Diane Louise Ray Counselor 4 Majorca Ct, San Rafael, CA 94903-1520 2014-08-08
1487072542 Julie Lehman Counselor 1717 5th Ave Ste E, San Rafael, CA 94901-1810 2014-04-04
1073867081 Lisa Ann Kubiak Counselor 900 Mission Ave, San Rafael, CA 94901-6108 2012-10-30
1740530815 Deborah Ann Spake Counselor 712 D St. Suite P, San Rafael, CA 94901 2012-09-14
1386993210 Sarah Tischler Aikin Counselor 555 Northgate Drive, Suite 100, Family Service Agency of Marin, San Rafael, CA 94903-3680 2012-09-06
1477810182 Amanda Gloria Jean Conn Counselor 980 Lincoln Ave Ste 250, San Rafael, CA 94901-8802 2012-04-19
1558647487 Katherine O Bregar Counselor 361 Third St. Suite G, San Rafael, CA 94901 2011-10-24
Find all providers in SAN RAFAEL

Competitor

Search similar providers

City SAN RAFAEL
Zip Code 94901

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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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