CHILD THERAPY INSTITUTE OF MARIN (NPI# 1487092144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487092144 |
| Entity Type | Organization |
| Organization Name | CHILD THERAPY INSTITUTE OF MARIN |
| Practice Address |
2015 Virginia St Berkeley CA 94709-2229 |
| Mailing Address |
1480 Lincoln Ave Ste 8 San Rafael CA 94901-2085 |
| Practice Telephone | 4154567724 |
| Practice Fax Number | 4154561050 |
| Mailing Telephone | 4154567724 |
| Mailing Fax Number | 4154561050 |
| Enumeration Date | 2013-06-04 |
| Last Update Date | 2013-06-04 |
| Authorized Official Name | BRIAN LUKAS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4154567724 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| 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 |
| 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 |
| 1821633348 | Child Therapy Institute of Marin | Marriage & Family Therapist | 558 San Anselmo Ave, San Anselmo, CA 94960-2621 | 2019-11-07 |
| 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 |
| Street Address |
2015 VIRGINIA ST |
| City | BERKELEY |
| State | CA |
| Zip Code | 94709-2229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487206520 | Ian Michael Shaw-zak | Student in an Organized Health Care Education/Training Program | 2015 Virginia St, Berkeley, CA 94709-2229 | 2019-07-09 |
| 1689025124 | Heather Singh | Marriage & Family Therapist | 2015 Virginia St, Berkeley, CA 94709-2229 | 2016-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144868647 | Komalpreet Kaur | Pharmacist | 1444 Shattuck Place, Berkeley, CA 94709 | 2019-12-16 |
| 1689189763 | Lynn Rubin | Marriage & Family Therapist | 1524 Henry St., Berkeley, CA 94709 | 2017-12-11 |
| 1750825154 | Stacy Taniguchi | Psychologist | 2000 Hearst Ave Ste 207, Berkeley, CA 94709 | 2016-12-05 |
| 1558804708 | Tylynn Ludwig | Dietitian, Registered | 1525 Shattuck Ave Ste G, Berkeley, CA 94709 | 2016-11-21 |
| 1528316171 | Leeat Zwick-louvton | Physical Therapist | 2209 Glen Ave, Berkeley, CA 94709 | 2012-08-29 |
| 1497016588 | City of Berkeley | Case Management | 1901 Hearst Street, Berkeley, CA 94709 | 2012-06-05 |
| 1841591914 | Dana Carr | Psychologist | 1078 Shattuck Avenue, #6, Berkeley, CA 94709 | 2010-11-05 |
| 1568639565 | Harry Joseph Lieberman | Marriage & Family Therapist | 1933 Rose St, Berkeley, CA 94709 | 2008-05-09 |
| 1780806935 | Martha W Knobler | Marriage & Family Therapist | 2045 Francisco Street, Berkeley, CA 94709 | 2007-05-03 |
| 1578690830 | Alice H Brown | Counselor | 1607 Walnut Street # One, Berkeley, CA 94709 | 2007-02-27 |
| Find all providers in zip 94709 | ||||
| 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 |
|---|---|---|---|---|
| 1104435023 | Shuni Inc | Community/Behavioral Health | 2120 University Ave, Berkeley, CA 94704-1026 | 2020-07-27 |
| 1811559735 | Bonita House, Inc. | Community/Behavioral Health | 1909 University Ave, Berkeley, CA 94704 | 2019-07-01 |
| 1396205068 | Supportiv | Community/Behavioral Health | 2222 Harold Way, Berkeley, CA 94704-1425 | 2019-03-20 |
| 1336628338 | Satellite Affordable Housing Associates | Community/Behavioral Health | 3240 Sacramento St, Berkeley, CA 94702-2740 | 2018-08-09 |
| 1831602457 | Options Recovery Services | Community/Behavioral Health | 3331 King St, Berkeley, CA 94703-2647 | 2017-11-06 |
| 1497268072 | Options Recovery Services | Community/Behavioral Health | 1845 Addison St, Berkeley, CA 94703-1503 | 2017-11-06 |
| 1124557046 | New Bridge Foundation, Inc. | Community/Behavioral Health | 2425 Stuart St, Berkeley, CA 94705-1115 | 2017-06-05 |
| 1205362811 | County of Alameda | Community/Behavioral Health | 2015 Virginia St Rm 102, Berkeley, CA 94709-2229 | 2017-05-03 |
| 1144687435 | Ste Consultants | Community/Behavioral Health | 2560 9th St Ste 220, Berkeley, CA 94710-2565 | 2016-01-19 |
| 1144628363 | Berkeley Addiction Treatment Services | Community/Behavioral Health | 2798 Sacramento St, Berkeley, CA 94702-2337 | 2014-12-22 |
| Find all providers in BERKELEY | ||||
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| 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.